Tieshekia Fowlks-

NPI #1881990950 in Tucker, Georgia

Provider Information

NPI Number
1881990950
Entity Type
Individual
Name
Tieshekia Fowlks-
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Enumeration Date
Feb 7, 2011
Last Updated
Dec 30, 2024

Practice Location

Address
3776 LAVISTA RD STE 350
City
Tucker
State
Georgia
ZIP Code
30084-5648
Phone
(404) 914-8877

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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