Individual
MARLAYNE WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
235 E PONCE DE LEON AVE, DECATUR, GA 30030-3452
(678) 463-4009
Mailing address
2845 GREENWILLOW DR NE, ATLANTA, GA 30345-3715
(678) 463-4009
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
008330
GA
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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