Individual
MARIAH DANTZLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2750 OLD ALABAMA RD, SUITE 200, JOHNS CREEK, GA 30022-8593
(678) 893-5300
Mailing address
325 TIVIDALE COURT, ALPHARETTA, GA 30022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/26/2016
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