Mildred Lisa Patzer Lpc Inc | |
5400 Laurel Springs Pkwy Suite 1101 Suwanee GA 30024-6056 | |
(678) 849-5286 | |
Not Available |
Full Name | Mildred Lisa Patzer Lpc Inc |
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Speciality | Counselor - Professional |
Location | 5400 Laurel Springs Pkwy, Suwanee, Georgia |
Authorized Official Name and Position | Mildred Lisa Patzer (PRINCIPAL) |
Authorized Official Contact | 6788495286 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mildred Lisa Patzer Lpc Inc 5400 Laurel Springs Pkwy Suite 1101 Suwanee GA 30024-6056 Ph: (678) 849-5286 | Mildred Lisa Patzer Lpc Inc 5400 Laurel Springs Pkwy Suite 1101 Suwanee GA 30024-6056 Ph: (678) 849-5286 |
NPI Number | 1891952131 |
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Provider Enumeration Date | 05/22/2008 |
Last Update Date | 05/22/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891952131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC1638 (Georgia) | Primary |
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