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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAQUANDA JEFFERSON

Active Sole Proprietor

LAQUANDA JEFFERSON is a Student (Health Education/Training) healthcare provider located in LITHIA SPRINGS, Georgia. NPI 1104340256 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · LITHIA SPRINGS, GA

Registration Details

NPI Number
1104340256
Provider Type
Individual
Gender
Female
NPI Issued
Jul 31, 2017 (8.8580150770783 yrs)
Last Updated
Jul 31, 2017
Sole Proprietor
Yes

Practice Information

Address
870 CRESTMARK DR STE 103
LITHIA SPRINGS, GA, 301222665
Browse GA providers · Browse ZIP 30122
Phone
7706720376
Fax
7706720376
Primary Specialty
Student (Health Education/Training)
390200000X
Additional Specialty
Marriage & Family Therapist
Additional Specialty
Behavior Technician
Additional Specialty
Case Manager

Other Student (Health Education/Training) Providers in LITHIA SPRINGS, GA

Name Credential NPI
MELINDA FRANKE 1174155030
FREDDIE YOUNG 1457008658
KAITLYN MARIE MILLER 1396474847
SHIKA CRANE 1194405217
AVEIA FRANCIS BS 1790635019
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.