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Individual

NATALIE GENERALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPMT, MT-BC, M.M.ED

Contact information

Practice address
101 DEVANT ST, SUITE 703, FAYETTEVILLE, GA 30214-2710
(404) 446-6945
Mailing address
PO BOX 1494, FAIRBURN, GA 30213-8008
(404) 446-6945

Taxonomy

Speciality
Code
Description
License number
State
225A00000X
Music Therapist
Primary
MUT000067
GA

Other

Enumeration date
05/15/2015
Last updated
05/15/2015
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