Provider Information for 1144528787
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Mrs. PAULA L. CHRISTIAN-STALLWORTH LPC,CADC II,CCDP-D
Sex: Female
NPI: 1144528787
Last Updated: 2015-03-30
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1144528787 | ||||||||||||
| Enumeration Date | 2011-03-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 343 SALEM GATE DRIVE SE SUITE 101 CONYERS, GA 30013-1783 United States Phone: 770-929-1470 | Fax:770-929-1425 | ||||||||||||
| Primary Practice Address | 343 SALEM GATE DRIVE SE SUITE 101 CONYERS, GA 30013-1783 United States Phone: 770-929-1470 | Fax:770-929-1425 | ||||||||||||
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