Individual
ELIZABETH CHALK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2440 SANDY PLAINS RD, BLDG 13 STE 300, MARIETTA, GA 30066-7217
(770) 971-9311
Mailing address
4515 GILHAMS RD NE, ROSWELL, GA 30075-1905
(404) 932-6651
(678) 952-8134
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001142
GA
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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