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Organization
MT. BETHEL SHEPHERD CENTER INC.
Active
Organization
MT. BETHEL SHEPHERD CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNIE MAYFIELD MS.,LPC (PRESIDENT)
(678) 571-5119
Entity
Organization
Contact information
Practice address
4608 LOWER ROSWELL RD, MARIETTA, GA 30068-4237
(678) 571-5119
Mailing address
4608 LOWER ROSWELL RD, MARIETTA, GA 30068-4237
(678) 571-5119
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2583
GA
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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