Individual
MAURO PRADELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3793 N HAMPTON DR NW, KENNESAW, GA 30144-6104
(404) 502-7399
Mailing address
3793 N HAMPTON DR NW, KENNESAW, GA 30144-6104
(404) 502-7399
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
03/05/2010
Last updated
03/05/2010
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