| Debra Legere | |
|
242 Creekstone Rdg Woodstock GA 30188-3732 | |
| (404) 918-2674 | |
| Not Available |
| Full Name | Debra Legere |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 242 Creekstone Rdg, Woodstock, Georgia |
| Authorized Official Name and Position | Debra Legere (OWNER) |
| Authorized Official Contact | 4049182674 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra Legere 3436 River Heights Xing Se Marietta GA 30067-4500 Ph: (404) 918-2674 | Debra Legere 242 Creekstone Rdg Woodstock GA 30188-3732 Ph: (404) 918-2674 |
| NPI Number | 1023880671 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023880671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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