Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Psych/Mental Health
Enumerated
Feb 23, 2015
License(s)
RN186519 (GA), RN186519 (GA), CNP221403 (ME)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1661 TABOR DR | Marietta, GA 30062-2824 | 678-231-9721 |
| LOCATION | 1661 TABOR DR | Marietta, GA 30062-2824 | 678-231-9721 |
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