Individual
SOFIA GRACE MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APC, NCC
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
4318 VILLAGE OAKS LN, ATLANTA, GA 30338-5730
(831) 293-4031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC008888
GA
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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