Individual
MIRANDA G DILLARD-WHYMSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4547 REVA DR NE, MARIETTA, GA 30066-2358
(470) 604-5675
Mailing address
4547 REVA DR NE, MARIETTA, GA 30066-2358
(470) 604-5675
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
MSW012052
GA
Other
Enumeration date
02/03/2025
Last updated
02/03/2025
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