Individual
ELIZABETH REISIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3543 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(678) 379-2734
Mailing address
3543 HIGHWAY 81, LOGANVILLE, GA 30052-4336
(678) 379-2734
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/08/2022
Last updated
12/08/2022
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