Individual
SUSANA M SOLOMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APC
Contact information
Practice address
6020 DAWSON BLVD STE I, NORCROSS, GA 30093-1259
(541) 231-4423
Mailing address
193 FAIROAKS CIR, STOCKBRIDGE, GA 30281-1191
(541) 231-4423
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APC006979
ASSOCIATE PROFESSIONAL LICENSE
GA
Enumeration date
05/28/2019
Last updated
05/28/2019
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