MAGAN SLACK

DECATUR, GA
NPI1912206905
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
(Licence: GA  LPC005063)
Enumeration Date2011-03-16
Last Update Date2011-03-16
Business Address
MS. MAGAN SLACK LPC
4282 MEMORIAL DR STE C
DECATUR, GA 30032-1218
Phone number: 770-778-4061
Mailing Address
MS. MAGAN SLACK LPC
4282 MEMORIAL DR STE C
DECATUR, GA 30032-1218
Phone number: 770-778-4061
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