Individual
MARILYN DIANE PEARCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, PH.D.
Contact information
Practice address
3105 CREEKSIDE VILLAGE DR NW STE 801, KENNESAW, GA 30144-4218
(678) 468-9103
Mailing address
3105 CREEKSIDE VILLAGE DR NW STE 801, KENNESAW, GA 30144-4218
(678) 468-9103
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
944
GA
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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