Individual
MRS. GEORGIA ANN NICKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LMFT
Contact information
Practice address
3534 OLD MILTON PKWY, ALPHARETTA, GA 30005-4459
(770) 333-6566
Mailing address
3534 OLD MILTON PKWY, ALPHARETTA, GA 30005-4459
(770) 333-6566
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
759
GA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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