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Organization

BUILDING INTIMATE MARRIAGES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL SYTSMA (PRESIDENT)
(770) 822-4505
Entity
Organization

Contact information

Practice address
1325 SATELLITE BLVD NW, SUITE 1002, SUWANEE, GA 30024-4651
(770) 822-4505
Mailing address
1325 SATELLITE BLVD NW, SUITE 1002, SUWANEE, GA 30024-4651
(770) 822-4505

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1970
GA
106H00000X
Marriage & Family Therapist
Primary

Other

Enumeration date
02/27/2007
Last updated
11/01/2016
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