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Individual

MS. HOLLY S TICKLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.DIV,LMFT

Contact information

Practice address
3700 PLEASANT HILL RD, DULUTH, GA 30096-3194
(404) 784-6313
Mailing address
4845 SHORT ST, SUWANEE, GA 30024-1945
(770) 271-8371

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT001179
GA

Other

Enumeration date
06/26/2012
Last updated
06/26/2012
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