Individual
MAGDA TEVDORADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
544 MEDLOCK RD, DECATUR, GA 30030-1515
(678) 641-0405
(404) 373-3022
Mailing address
544 MEDLOCK RD, SUITE 112, DECATUR, GA 30030-1515
(678) 641-0405
(404) 373-3022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004025
GA
Other
Enumeration date
07/07/2006
Last updated
08/08/2009
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