Maryam Clyburn, LPC

NPI #1992380281 in Grayson, Georgia

Provider Information

NPI Number: 1992380281
Entity Type: Individual
Name: Maryam Clyburn, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Mar 17, 2021
Last Updated: Mar 17, 2021

Practice Location

Address: 1128 LAKEVIEW RD
City: Grayson
State: Georgia
ZIP Code: 30017-1143
Phone: (770) 265-7076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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