Individual
CASSIDY SHORT HAFLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
172 BERLIN CT, ATHENS, GA 30601-2282
(216) 924-0847
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006105
GA
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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