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Organization
PREFERRED PSYCHOLOGICAL SERVICE, LLC
Active
Organization
PREFERRED PSYCHOLOGICAL SERVICE, LLC
Active
Other names
Preferred Psychological Servic, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA DIANE MARTIN LPC (MANAGING MEMBER)
(678) 606-0680
Entity
Organization
Contact information
Practice address
24 WALESKA ST, SUITE 100, CANTON, GA 30114-2739
(678) 606-0680
Mailing address
PO BOX 4426, CANTON, GA 30114-0200
(678) 303-0380
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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