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Individual

MS. JAMAE THERESE MARCINKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
700 OLD ROSWELL LAKES PKWY STE 350, ROSWELL, GA 30076
(480) 620-1206
Mailing address
1685 MISTY RIVER RUN, ROSWELL, GA 30076-4475
(480) 620-1206

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
45492
CA
106H00000X
Marriage & Family Therapist
Primary
MFT001678
GA

Other

Enumeration date
01/29/2007
Last updated
04/17/2019
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