Organization
MPD CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA MARIE RICKMAN LCSW (THERAPIST)
(404) 403-7298
Entity
Organization
Contact information
Practice address
310 PAPER TRAIL WAY, SUITE 106, CANTON, GA 30115-5203
(678) 880-4645
(770) 628-0046
Mailing address
410 BEECHWOOD LN, WOODSTOCK, GA 30189-8111
(404) 403-7298
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW003678
GA
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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