Individual
MARITZA PITELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 LEE ST, CARROLLTON, GA 30117-3315
(770) 342-8882
Mailing address
1109 S PARK ST STE 504, CARROLLTON, GA 30117-4449
(770) 342-8882
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008929
GA
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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