Individual
AMIRACLE SHA'RON WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 MCGINNIS FERRY RD, APT 1327B, SUWANEE, GA 30024-8315
(678) 327-0989
Mailing address
4025 MCGINNIS FERRY RD, SUWANEE, GA 30024-8315
(678) 327-0989
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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