Individual
MRS. ELIZABETH MADDOX KRESGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3745 CHEROKEE ST NW, SUITE 202, KENNESAW, GA 30144-6733
(404) 944-9431
(770) 429-1746
Mailing address
4580 MYRTLE HILL RD NE, KENNESAW, GA 30144-1521
(404) 944-9431
(770) 429-1746
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 001514
GA
Other
Enumeration date
02/26/2007
Last updated
08/19/2010
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