Individual
DIANE L MALPASS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMFT, PSY.D.
Contact information
Practice address
1001 WEATHERSTONE PKWY, STE. 430, WOODSTOCK, GA 30188-4495
(770) 592-0150
(770) 592-0971
Mailing address
1001 WEATHERSTONE PKWY, STE. 430, WOODSTOCK, GA 30188-4495
(770) 592-0150
(770) 592-0971
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000864
GA
Other
Enumeration date
08/11/2005
Last updated
07/08/2007
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