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Organization
WEEPING WILLOW THERAPY GROUP LLC
Active
Organization
WEEPING WILLOW THERAPY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON DAVIS (ADMINISTRATOR)
(404) 513-8839
Entity
Organization
Contact information
Practice address
1970 MAIN ST E STE B53, SNELLVILLE, GA 30078-6463
(404) 513-8839
Mailing address
1970 MAIN ST E STE B53, SNELLVILLE, GA 30078-6463
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/07/2023
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