Individual
MYSIA PRICKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
904 ARBOR FOREST LNDG SW, MARIETTA, GA 30064-2865
(770) 289-7239
Mailing address
904 ARBOR FOREST LNDG SW, MARIETTA, GA 30064-2865
(770) 289-7239
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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