Organization
LGD PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA GAIL DENNARD LCSW (PRESIDENT)
(770) 469-6794
Entity
Organization
Contact information
Practice address
5438 REDWOOD CT, STONE MOUNTAIN, GA 30087-5758
(770) 469-6794
(770) 469-6794
Mailing address
5438 REDWOOD CT, STONE MOUNTAIN, GA 30087-5758
(770) 469-6794
(770) 469-6794
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
CSW002671
GA
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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