Individual
DR. SHATAVIA ALEXANDER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMFT, LMFT
Contact information
Practice address
950 DANNON VW SW, ATLANTA, GA 30331-2160
(404) 537-2377
Mailing address
PO BOX 42198, ATLANTA, GA 30311-0198
(404) 537-2377
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001138
GA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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