KAITLIN LACKEY
Restorative Service Providers at Glendalough Ct, Tyrone, GA

License number
Georgia OT006357
Category
Restorative Service Providers
Type
Pediatrics
Address
Address 2
105 Glendalough Ct SUITE H, Tyrone, GA 30290
117 Hardy Rd, Senoia, GA 30267
Phone
(678) 632-6765
(678) 550-7931 (Fax)
(678) 371-1061
National Provider ID: 1407215361
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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