Individual
MS. MARY STUART NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. , LPC
Contact information
Practice address
1427 ORANGE SHOALS DR, CANTON, GA 30115-8554
(678) 524-5241
Mailing address
9876 MAIN ST, SUITE 100, WOODSTOCK, GA 30188-3970
(770) 516-1050
(770) 516-1300
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC003159
GA
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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