Individual
DR. SALLIE MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4268 CANTON RD, MARIETTA, GA 30066-8301
(404) 692-4037
Mailing address
2747 ARBOR AVE SE, ATLANTA, GA 30317-2903
(404) 409-1533
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY004840
GA
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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