Individual
MARINENA RACHELLE SHIRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 SHUGART RD, DALTON, GA 30720-2467
(706) 270-5008
Mailing address
389 LOWER DUG GAP RD SW, DALTON, GA 30720-9239
(706) 463-8053
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008018
GA
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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