Individual
MARJETTA V. GULLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1258 CONCORD RD SE, SUITE 101, SMYRNA, GA 30080-5300
(404) 428-3104
Mailing address
1258 CONCORD RD SE, SUITE 101, SMYRNA, GA 30080-5300
(404) 428-3104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003374
GA
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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