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Individual

ELIANA ROSE SHMOOKLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1640 POWERS FERRY RD SE BLDG 18-200, MARIETTA, GA 30067-9413
(404) 490-3478
Mailing address
1640 POWERS FERRY RD SE BLDG 5-110, MARIETTA, GA 30067-9474

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
12/26/2018
Last updated
07/24/2024
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