Individual
HONIDU MARICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW CPS-P DOULA CMC
Contact information
Practice address
957 MAIN ST STE A108, STONE MOUNTAIN, GA 30083-3060
(470) 336-2149
Mailing address
957 MAIN ST STE A108, STONE MOUNTAIN, GA 30083-3060
(470) 336-2149
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
GA
172V00000X
Community Health Worker
—
GA
175T00000X
Peer Specialist
Primary
—
GA
Other
Enumeration date
07/25/2025
Last updated
07/25/2025
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