Marsha R Mudrey, LPC

NPI #1508379934 in Canton, Georgia

Provider Information

NPI Number: 1508379934
Entity Type: Individual
Name: Marsha R Mudrey, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Nov 7, 2017
Last Updated: May 2, 2018

Practice Location

Address: 2205 RIVERSTONE BOULEVARD
Address 2: SUITE 273
City: Canton
State: Georgia
ZIP Code: 30114-5250
Phone: (762) 441-1263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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