Individual
MARSHA R MUDREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2205 RIVERSTONE BOULEVARD, SUITE 273, CANTON, GA 30114-5250
(762) 441-1263
Mailing address
2205 RIVERSTONE BOULEVARD, SUITE 273, CANTON, GA 30114-5250
(762) 441-1263
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
GA
Other
Enumeration date
11/07/2017
Last updated
05/02/2018
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