Individual
KAITLYN LANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4343 SHALLOWFORD RD BLDG H, MARIETTA, GA 30062-5023
(678) 694-1573
Mailing address
4343 SHALLOWFORD RD BLDG H, MARIETTA, GA 30062-5023
(678) 694-1573
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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