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Individual

PEGGY A STUDSTILL-HORANSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3912 CEDAR CIR, TUCKER, GA 30084-7339
(770) 414-9742
(770) 414-8296
Mailing address
335 DASHING WAVE LN, ALPHARETTA, GA 30005-4232
(770) 772-6103

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000685
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
673896658A
GA
Enumeration date
08/10/2006
Last updated
07/08/2007
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