Individual
DORIS WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
253 SEQUOIA DR NE, MARIETTA, GA 30060-7215
(404) 259-8026
Mailing address
253 SEQUOIA DR NE, MARIETTA, GA 30060-7215
(404) 259-8026
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1524
GA
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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