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Individual

MS. GAIL REGINA OLIVEIRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1218 FAIRBURN RD SW, SUITE 102, ATLANTA, GA 30331-2117
(678) 773-5838
(404) 883-2210
Mailing address
326 PEAKS LNDG, CONYERS, GA 30013-5055
(678) 773-5838
(404) 883-2210

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006686
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003133350A
GA
Enumeration date
01/30/2012
Last updated
08/28/2013
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