Individual
TRACI ROXANNE CALLENDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 DECATUR RD, MCDONOUGH, GA 30253-2024
(770) 957-6256
(770) 957-0230
Mailing address
3578 S FULTON AVE, HAPEVILLE, GA 30354-1756
(404) 669-3462
(404) 669-3957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/07/2006
Last updated
07/08/2007
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