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Individual

DEVIN ORALEA THOMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
145 CHURCH ST NE STE 105, MARIETTA, GA 30060-1620
(404) 618-6955
Mailing address
145 CHURCH ST NE STE 105, MARIETTA, GA 30060-1620

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC015360
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6105733390
CA
Enumeration date
11/17/2022
Last updated
01/16/2025
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