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Individual

PATRICIA GAYA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, LMFT

Contact information

Practice address
1455 LINCOLN PKWY E, SUITE 240, ATLANTA, GA 30346-2209
(678) 666-4717
(404) 201-2912
Mailing address
1455 LINCOLN PKWY E, SUITE 240, ATLANTA, GA 30346-2209
(678) 666-4717
(404) 201-2912

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001307
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003151867A
GA
01
MFT001307
LICENSE GEORGIA
GA
Enumeration date
05/03/2007
Last updated
02/13/2015
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