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Individual

SUSAN M PERZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
4460 ATLANTA HWY, SUITE B, LOGANVILLE, GA 30052-7313
(770) 519-0002
Mailing address
5387 RABBIT FARM RD, LOGANVILLE, GA 30052-4246
(770) 519-0002

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000973
GA

Other

Enumeration date
07/14/2006
Last updated
01/07/2008
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