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Organization

SWCCOUNSELING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERA HOLLOWAY (OWNER)
(770) 469-0124
Entity
Organization

Contact information

Practice address
814 MIMOSA BLVD, BLDG C, ROSWELL, GA 30075-4410
(678) 680-8731
Mailing address
4886 CANDLEWOOD LN, STONE MOUNTAIN, GA 30088-1606
(770) 469-0124

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
LPC008645
GA

Other

Enumeration date
01/26/2016
Last updated
01/26/2016
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