Individual
LACY MCKAY ADAMSON WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC ATR
Contact information
Practice address
2375 WALL ST SE STE 240, CONYERS, GA 30013-2296
(470) 829-6301
Mailing address
757 SUGAR HILL LN SE, CONYERS, GA 30094-3743
(404) 313-9807
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
008510
GA
221700000X
Art Therapist
23-509
GA
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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