Individual
MARSHELL KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 PIEDMONT AVE NE STE 907, ATLANTA, GA 30303-2571
(404) 420-3202
Mailing address
450 STONEWALL ST SW, ATLANTA, GA 30313-1399
(229) 322-0017
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
06/03/2021
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