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Individual

PERLA JOHANA SORTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BA/PP

Contact information

Practice address
2090 SUGARLOAF PKWY STE 115, LAWRENCEVILLE, GA 30045-9402
(404) 378-2300
Mailing address
2966 DOLOSTONE WAY, DACULA, GA 30019-7658
(770) 369-3713

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
02/06/2019
Last updated
02/06/2019
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