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Tricia Daniels

Counselor, Professional in Conyers, GA. Individual provider (NPI-1).

NPI number1962038240
StatusActive
Last updated in NPPESMar 18, 2020

Details

NPI
1962038240
Entity type
Individual (NPI-1)
Name
Tricia Daniels
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 18, 2020
Certification date
Mar 18, 2020
Last updated
Mar 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional––Yes

Practice location

1175 Green Street, Se
Conyers, GA 30012-3001

Phone 770-929-1425

Mailing address

1175 Green St Se
Conyers, GA 30012-5407

Phone 770-929-1470 · Fax 770-929-1475

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