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Individual

INGRID P P CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2795 MAIN STREET WEST, SUITE 20B, SNELLVILLE, GA 30078
(678) 344-7836
Mailing address
6110 BLACKWOOD CIR, NORCROSS, GA 30093-4905
(770) 940-1445

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/23/2025
Last updated
06/23/2025
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