Individual
MS. ANGELICA VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7506 SAINT DAVID ST, FAIRBURN, GA 30213-3096
(678) 396-1970
Mailing address
7506 SAINT DAVID ST, FAIRBURN, GA 30213-3096
(678) 396-1970
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
006493
GA
Other
Enumeration date
12/20/2006
Last updated
10/11/2019
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