Individual
SAMANTHA ELIZABETH HEUWAGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
286 S MAIN ST STE 100, ALPHARETTA, GA 30009
(248) 660-0487
Mailing address
286 S MAIN ST STE 100, ALPHARETTA, GA 30009-1943
(248) 660-0487
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001641
GA
Other
Enumeration date
04/23/2018
Last updated
08/17/2018
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