LA DETRIA KING

AUGUSTA, GA
NPI1144564303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: GA  LPC006088)
Enumeration Date2012-11-11
Last Update Date2012-11-11
Business Address
-- LA DETRIA KING LPC
2610 COMMONS BLVD SUITE B
AUGUSTA, GA 30909-2080
Phone number: 706-832-6679
Mailing Address
-- LA DETRIA KING LPC
2918 HENRY ST
AUGUSTA, GA 30909-3848
Phone number: 706-832-6679
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