Individual
MARTHA FODROCZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 JOHNSON FERRY RD STE 123, MARIETTA, GA 30068-2114
(678) 213-2194
Mailing address
4255 WADE GREEN RD NW STE 414, KENNESAW, GA 30144-1763
(678) 213-2194
(678) 922-7767
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC011366
GA
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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