Individual
MRS. MARY D ETAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-9988
(404) 489-6594
Mailing address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-9988
(404) 489-6594
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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