Individual
ALICE HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 DAWSON BLVD, SUITE I, NORCROSS, GA 30093-1229
(770) 662-0249
Mailing address
609 VIRGINIA AVE NE, APT 8203, ATLANTA, GA 30306-5106
(770) 662-0249
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC004581
GA
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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