KEISHA T TANNER

MCDONOUGH, GA
NPI1255620332
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: GA  APC002881)
Enumeration Date2011-03-29
Last Update Date2011-03-29
Business Address
Mrs. KEISHA T TANNER LAPC
338 AUTUMN LAKE DR
MCDONOUGH, GA 30253-6590
Phone number: 678-272-0713
Mailing Address
Mrs. KEISHA T TANNER LAPC
338 AUTUMN LAKE DR
MCDONOUGH, GA 30253-6590
Phone number: 678-272-0713