Individual
TIESHA SHARIE FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
2926 BENT CREEK DR NW, KENNESAW, GA 30152-2625
(678) 439-9007
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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