Individual
MARCIA LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
126 ENTERPRISE PATH, HIRAM, GA 30141-2656
(678) 567-0920
(678) 567-0950
Mailing address
126 ENTERPRISE PATH, HIRAM, GA 30141-2656
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NONE
GA
Other
Enumeration date
11/28/2015
Last updated
11/28/2015
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