LATASHA MCKENZIE MACK

ATLANTA, GA
NPI1285773002
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: GA  PSY002889)
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
-- LATASHA MCKENZIE MACK
1050 CROWN POINTE PKWY SUITE 295
ATLANTA, GA 30338-7707
Phone number: 866-325-5434
Mailing Address
-- LATASHA MCKENZIE MACK
496 LAURELTON CIR
LAWRENCEVILLE, GA 30044-7741
Phone number: 866-325-5434
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