Individual
MRS. BRENDA D ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1983 LOWER ROSWELL RD, MARIETTA, GA 30068-3348
(770) 321-8244
(770) 973-8844
Mailing address
1983 LOWER ROSWELL RD, MARIETTA, GA 30068-3348
(770) 321-8244
(770) 973-8844
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC002183
GA
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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