| |
2910 N Druid Hills Rd Ne Suites E & J Atlanta GA 30329-3919 | |
(404) 248-1557 | |
(404) 248-1558 |
Full Name | |
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Speciality | Counselor - Professional |
Location | 2910 N Druid Hills Rd Ne, Atlanta, Georgia |
Authorized Official Name and Position | Ruby Blow (OWNER/LICENSED PROF COUNSELOR) |
Authorized Official Contact | 4042481557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2910 N Druid Hills Rd Ne Suites E & J Atlanta GA 30329-3919 Ph: (404) 248-1557 | 2910 N Druid Hills Rd Ne Suites E & J Atlanta GA 30329-3919 Ph: (404) 248-1557 |
NPI Number | 1750537106 |
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Provider Enumeration Date | 08/15/2008 |
Last Update Date | 07/07/2010 |
Identifier | Type | State | Issuer |
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1750537106 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | 003511 (Georgia) | Primary |
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