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Individual

MS. MARYANN F SMOLKO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1301 SHILOH RD NW STE 710, KENNESAW, GA 30144-7157
(770) 792-0079
Mailing address
132 GALLERY CT, ACWORTH, GA 30101-2707
(770) 713-4574

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004657
GA

Other

Enumeration date
07/15/2012
Last updated
07/15/2012
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