Individual
SHELLY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 POWERS FERRY RD SE, MARIETTA, GA 30067-5491
(424) 295-6227
Mailing address
1640 POWERS FERRY RD SE, MARIETTA, GA 30067-5491
(424) 295-6227
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
002019
GA
Other
Enumeration date
02/24/2014
Last updated
03/20/2023
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