Individual
MRS. MICHELE A. DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, MPP,PHD
Contact information
Practice address
6969 GALLANT CIR SE, MABLETON, GA 30126-4683
(229) 443-5190
Mailing address
6969 GALLANT CIR SE, MABLETON, GA 30126-4683
(229) 443-5190
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5225
NJ
Other
Enumeration date
11/22/2022
Last updated
02/07/2024
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