SHANNON LACERNE HALL

ELLENWOOD, GA
NPI1164856373
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: GA  08137869)
Enumeration Date2013-08-23
Last Update Date2013-08-23
Business Address
Dr. SHANNON LACERNE HALL
2515 TOLLIVER DR
ELLENWOOD, GA 30294-6228
Phone number: 678-794-7112
Mailing Address
Dr. SHANNON LACERNE HALL
2515 TOLLIVER DR
ELLENWOOD, GA 30294-6228
Phone number: 678-794-7112