Individual
ANNURADHA VIJAYVARGIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5041 DALLAS HWY STE 402, POWDER SPRINGS, GA 30127-6458
(678) 354-5594
Mailing address
2143 LEATHERSTONE DR, POWDER SPRINGS, GA 30127-7038
(574) 229-1485
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007381
GA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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