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Marquis Tanisha Hebert Valid NPI

Individual provider · Counselor · Mableton, GA

NPI
1245079433
Type
Individual (Type 1)
Primary specialty
Counselor
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101Y00000X
License number
23136 (GA)
Sex
Female
Sole proprietor
Yes
Enumerated
2024-05-20
Last updated
2024-05-20
Practice location
1400 Veterans Memorial Hwy Se Ste 134-156
Mableton, GA 30126-2945
(770) 569-3639

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