Patricia Whalen Llc | |
4778 Rose Arbor Dr Nw Acworth GA 30101-8354 | |
(470) 270-9268 | |
(770) 334-2493 |
Full Name | Patricia Whalen Llc |
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Speciality | Counselor - Professional |
Location | 4778 Rose Arbor Dr Nw, Acworth, Georgia |
Authorized Official Name and Position | Patricia Jackson Whalen (OWNER) |
Authorized Official Contact | 4702709268 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Patricia Whalen Llc 4778 Rose Arbor Dr Nw Acworth GA 30101-8354 Ph: (470) 270-9268 | Patricia Whalen Llc 4778 Rose Arbor Dr Nw Acworth GA 30101-8354 Ph: (470) 270-9268 |
NPI Number | 1700473162 |
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Provider Enumeration Date | 12/30/2020 |
Last Update Date | 12/30/2020 |
Certification Date | 12/30/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700473162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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