Provider Information for 1134578065
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DENISE C STONE LPC
Sex: Female
NPI: 1134578065
Last Updated: 2023-03-07
Certification Date: 2023-03-07
Certification Date: 2023-03-07
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1134578065 | ||||||||||||
| Enumeration Date | 2016-06-10 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2151 CUMBERLAND PKWY SE ATLANTA, GA 30339-4590 United States Phone: 404-910-3599 | Fax: | ||||||||||||
| Primary Practice Address | 2151 CUMBERLAND PKWY SE ATLANTA, GA 30339-4590 United States Phone: 404-910-3599 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 8089 HIGHWAY 72 W 3305 CREST RIDGE DR | ||||||||||||
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