Individual
CHARMAINE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 AUTRY STREET NW, NORCROSS, GA 30071-1919
(770) 464-5123
Mailing address
4517 TERESA CT, LITHONIA, GA 30038-7702
(770) 712-5427
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC005917
GA
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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