Individual
MS. LYNN KING SHIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
120 RELAY RD, SILVER CREEK, GA 30173
(770) 378-9024
(770) 783-8003
Mailing address
PO BOX 1013, SILVER CREEK, GA 30173-1013
(770) 378-9024
(770) 783-8003
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004769
GA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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