Individual
MARQUIS TANISHA HEBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 VETERANS MEMORIAL HWY SE STE 134-156, MABLETON, GA 30126-2945
(770) 569-3639
Mailing address
1400 VETERANS MEMORIAL HWY SE STE 134-156, MABLETON, GA 30126-2945
(770) 569-3639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
23136
GA
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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