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Individual

HALEY AUGUSTA GRESHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
105 GOVERNORS SQ STE E, PEACHTREE CITY, GA 30269-4866
(770) 845-3666
Mailing address
151 MCDONALD RD, SHARPSBURG, GA 30277-2706
(770) 845-3666

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT001591
GA

Other

Enumeration date
11/13/2017
Last updated
11/13/2017
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