Individual
MARY MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1905 WOODSTOCK RD, ROSWELL, GA 30075-5616
(678) 249-0072
Mailing address
618 HIDDEN CLOSE, WOODSTOCK, GA 30188-5394
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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