Daphene Elijah, LPN

NPI #1053827501 in Lithia Springs, Georgia

Provider Information

NPI Number: 1053827501
Entity Type: Individual
Name: Daphene Elijah, LPN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: LPN
Enumeration Date: Dec 20, 2017
Last Updated: Dec 20, 2017

Practice Location

Address: 870 CRESTMARK DR STE 203
City: Lithia Springs
State: Georgia
ZIP Code: 30122-2665
Phone: (844) 300-0102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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