Individual
MARLENE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
714 PEPPERWOOD LN, STONE MOUNTAIN, GA 30087-5781
(404) 396-3278
Mailing address
714 PEPPERWOOD LN, STONE MOUNTAIN, GA 30087-5781
(404) 396-3278
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
242524
GA
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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