Individual
STACY EMERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
6348 SPRING LAKE DR, FLOWERY BRANCH, GA 30542-6605
(678) 209-4317
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC004786
GA
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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