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Lydia Threatt, APC

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

NPI number1982187118
StatusActive
Last updated in NPPESSep 13, 2018

Details

NPI
1982187118
Entity type
Individual (NPI-1)
Name
Ms. Lydia Threatt
Credential
APC
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 13, 2018
Last updated
Sep 13, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X CounselorAPC006571GAYes

Practice location

1710 Highway 16 W
Griffin, GA 30223-7107

Phone 770-229-3407 · Fax 770-229-3465

Mailing address

1710 Highway 16 W
Griffin, GA 30223-7107

Phone 770-229-3407 · Fax 770-229-3465

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