KATHLEEN SHACK

LAWRENCEVILLE, GA
NPI1164567137
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: GA  0000928)
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
Mrs. KATHLEEN SHACK M.S., LMFT
290 CONSTITUTION BLVD SUITE D
LAWRENCEVILLE, GA 30045-5638
Phone number: 678-220-0090
Mailing Address
Mrs. KATHLEEN SHACK M.S., LMFT
5825 MILLWICK DR
ALPHARETTA, GA 30005-6732
Phone number: 678-770-2200
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