| Julie Shortridge | |
|
512 Grayson Pkwy Grayson GA 30017-1216 | |
| (404) 274-5209 | |
| (770) 818-5607 |
| Full Name | Julie Shortridge |
|---|---|
| Speciality | Counselor - Professional |
| Location | 512 Grayson Pkwy, Grayson, Georgia |
| Authorized Official Name and Position | Julie Shortridge (OWNER/THERAPIST) |
| Authorized Official Contact | 4042745209 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Shortridge 1810 Westwind Dr Cumming GA 30041-7298 Ph: (404) 274-5209 | Julie Shortridge 512 Grayson Pkwy Grayson GA 30017-1216 Ph: (404) 274-5209 |
| NPI Number | 1740476589 |
|---|---|
| Provider Enumeration Date | 09/14/2007 |
| Last Update Date | 05/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740476589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC003547 (Georgia) | Primary |
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