Individual
JUDITH EVA SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3855 PRESIDENTIAL PKWY, ATLANTA, GA 30340-3705
(770) 451-6838
(770) 451-7408
Mailing address
3855 PRESIDENTIAL PKWY, ATLANTA, GA 30340-3705
(770) 451-6838
(770) 451-7408
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001146
GA
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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