Individual
ALYSSA MARIE COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1710 HIGHWAY 16 WEST, GRIFFIN, GA 30223
(770) 229-3407
(770) 229-3465
Mailing address
122 C GORDON COMMERCIAL DRIVE, LAGRANGE, GA 30240
(706) 845-4045
(706) 845-4367
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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