Individual
DR. SUSAN LESLIE MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1640 POWERS FERRY RD SE, BLDG. 17, STE. 350, MARIETTA, GA 30067-5491
(770) 956-9212
(770) 956-9211
Mailing address
1640 POWERS FERRY RD SE, BLDG. 17, STE. 350, MARIETTA, GA 30067-5491
(770) 956-9212
(770) 956-9211
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1582
GA
Other
Enumeration date
08/13/2006
Last updated
05/22/2013
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