Individual
MRS. CAMERON BUTLER WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 DALLAS HWY SW STE 240, MARIETTA, GA 30064-2597
(678) 485-1331
Mailing address
2655 DALLAS HWY SW STE 240, MARIETTA, GA 30064-2597
(678) 485-1331
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008573
GA
106H00000X
Marriage & Family Therapist
MFT001448
GA
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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