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Organization

SIMPLY QUEENS INC

Active
Other names
Simplykingsandqueens
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREA BISHOP MARBARY LPC (PSYCHOLOGIST)
(678) 395-3250
Entity
Organization

Contact information

Practice address
6974 MAIN ST, LITHONIA, GA 30058-4427
(678) 395-3250
(678) 395-3252
Mailing address
6974 MAIN ST, LITHONIA, GA 30058-4427
(678) 395-3250
(678) 395-3252

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
PSY-001519
GA
251S00000X
Community/Behavioral Health Agency
Primary
PSY-001519
GA
305R00000X
Preferred Provider Organization
PSY-001519
GA

Other

Enumeration date
09/02/2009
Last updated
09/02/2009
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