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Individual

MR. MICHAEL L. LAWWILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
1014 CANTON ST, ROSWELL, GA 30075-3615
(770) 993-2676
(770) 641-7680
Mailing address
13030 CRABAPPLE LAKE DR, ROSWELL, GA 30076-4261
(770) 641-7680
(770) 641-7680

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000711
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
481288787
TAX ID
Enumeration date
03/30/2007
Last updated
07/08/2007
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