Individual
DR. MARIEMILIA LARREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
32 LENOX POINTE NE, ATLANTA, GA 30324-5699
(404) 590-0398
Mailing address
3699 LENOX RD NE APT 556, ATLANTA, GA 30305-3881
(239) 603-4365
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
GA
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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