Organization
REALIZE LIFE COACHING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA MILLER MPH, LMSW (SOCIAL WORKER AND LIFE COACH)
(404) 964-9814
Entity
Organization
Contact information
Practice address
1924 CLAIRMONT RD, DECATUR, GA 30033-3438
(404) 964-9814
Mailing address
949 LONGLEY AVE NW, ATLANTA, GA 30318-5205
(404) 964-9814
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW005540
GA
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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