SAMANTHA MALCOLM

ATLANTA, GA
NPI1508532177
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Additional Taxonomies251S00000X Community/Behavioral Health
Enumeration Date2021-08-23
Last Update Date2021-08-23
Business Address
SAMANTHA MALCOLM
1030 FAYETTEVILLE RD SE
ATLANTA, GA 30316-2921
Phone number: 404-486-9034
Mailing Address
SAMANTHA MALCOLM
623 DELMAR AVE SE UNIT B
ATLANTA, GA 30312-3643
Phone number: 912-312-0704
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