Individual
MARVA REAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 GAIL LEE TER, SNELLVILLE, GA 30039-5291
(404) 834-3516
Mailing address
4035 GAIL LEE TER, SNELLVILLE, GA 30039-5291
(404) 834-3516
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005451
GA
Other
Enumeration date
03/17/2016
Last updated
03/17/2016
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