Individual
ERLESE CARUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
427 MORELAND AVE NE, SUITE 100B, ATLANTA, GA 30307-1500
(404) 228-3976
Mailing address
PO BOX 5468, ATLANTA, GA 31107-0468
(404) 228-3976
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006820
GA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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