Individual
MARY TAWES TAWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10 PARK PL., ATLANTA, GA 30303
(678) 499-0312
Mailing address
10 PARK PLACE, GRADY BEHAVIORAL HEALTH OUTPATIENT CLINIC, ATLANTA, GA 30303
(678) 499-0312
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
008660
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008660
LPC
GA
Enumeration date
02/18/2016
Last updated
02/18/2016
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