Individual
MRS. SOCROTIFF CARRUTH MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3180 CLAIRMONT RD NE, SUITE 704, BROOKHAVEN, GA 30329-1076
(678) 886-3325
Mailing address
3990 CLAIRMONT RD, ATLANTA, GA 30341-4938
(678) 886-3325
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001446
GA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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