Individual
REBECCA MARA STAPEL-WAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
523 CHURCH ST, DECATUR, GA 30030-2515
(404) 589-9040
Mailing address
3848 ADMIRAL DR, ATLANTA, GA 30341-1919
(404) 275-4637
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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