Most Relevant Information
Provider Data
| NPI Number: | 1003331794 |
| Provider Name: | DENISE DIANE HARPER ST |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/03/2017 |
| Last Updated: | 08/03/2017 |
Provider Practice Location
929 REDBUD LN SW
ATLANTA
GA
303113057
Practice Location Phone/Fax
| Phone: | 7702564851 |
| Fax: | 7702564851 |
Provider Mailing Location
929 REDBUD LN SW
ATLANTA
GA
303113057
Provider Mailing Phone/Fax
| Phone: | 7702564851 |
| Fax: |