Individual
CAROLINE EKWURTZEL SPILLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2376 MAIN ST, TUCKER, GA 30084-4492
(470) 339-4439
Mailing address
2376 MAIN ST, TUCKER, GA 30084-4492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC006136
GA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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