Individual
ASTRID PRUDENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 GEORGIA AVE SE, ATLANTA, GA 30312-3046
(407) 489-5755
Mailing address
4124 SHADOWOOD PKWY SE, ATLANTA, GA 30339-2333
(407) 489-5755
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/09/2021
Last updated
07/09/2021
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