Individual
MRS. MAURA SUZANNE KALAFUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
313 N SELVIDGE ST STE 107, DALTON, GA 30720-3156
(706) 671-2520
(706) 671-2590
Mailing address
PO BOX 361, VARNELL, GA 30756-0361
(706) 671-2520
(706) 671-2590
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC002157
GA
101YM0800X
Mental Health Counselor
Primary
LPC006637
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
814129823
COMMERCIAL INSURANCE
—
Enumeration date
06/01/2010
Last updated
09/20/2022
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