Individual
DR. MARLO T ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1800 PHOENIX BLVD, COLLEGE PARK, GA 30349-5593
(770) 996-6664
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(912) 541-0025
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000995
GA
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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