Individual
MIREILLE TERCIER MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 COUNTRY CLUB DR, STOCKBRIDGE, GA 30281-7350
(678) 782-7272
Mailing address
159 BURKE ST STE 201, STOCKBRIDGE, GA 30281-3410
(678) 782-7272
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006131
GA
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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