Individual
MR. SHAKESPEARE PRINCE DESIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BABA, MMFT
Contact information
Practice address
2557 LAKE CAPRI DR, CONYERS, GA 30012-2926
(954) 465-3849
Mailing address
2557 LAKE CAPRI DR, CONYERS, GA 30012-2926
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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