Individual
STACIA MARCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 SHILOH RD NW, SUITE 311, KENNESAW, GA 30144-7194
(334) 669-3358
Mailing address
1806 MOUNTAIN LAKE DR NW, KENNESAW, GA 30152-7720
(334) 669-3358
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW006411
GA
Other
Enumeration date
01/01/2015
Last updated
01/01/2015
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