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Individual

MARIE PACKARD STRICKLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
116 FORREST AVE, CARTERSVILLE, GA 30120-3640
(770) 382-3206
(770) 382-3276
Mailing address
6220 BENBROOKE DR NW, ACWORTH, GA 30101-8488
(770) 429-0080
(770) 434-3999

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT002950
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10035986
AMERIGROUP
GA
01
312663
WELLCARE
GA
01
52806450 002
BLUE CROSS BLUE SHIELD
GA
01
52806450 003
BLUE CROSS BLUE SHIELD
GA
01
52806450 004
BLUE CROSS BLUE SHIELD
GA
Enumeration date
11/14/2006
Last updated
07/08/2007
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