Individual
MRS. MARILYN PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
280 PLANTATION VIEW DR, LAWRENCEVILLE, GA 30044-4567
(678) 407-6196
(678) 407-6192
Mailing address
280 PLANTATION VIEW DR, LAWRENCEVILLE, GA 30044-4567
(678) 407-6196
(678) 407-6192
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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