THERESA MASEK,LPC

CARROLLTON, GA
NPI1972791853
Entity TypeOrganization
Authorized ContactTHERESA MASEK
Lpc
678-378-3226
Organization Subpart ?No
Primary Taxonomy251S00000X 
(Licence: GA  LPC002436)
Enumeration Date2007-10-04
Last Update Date2007-10-04
Business Address
THERESA MASEK,LPC
415 DIXIE ST
CARROLLTON, GA 30117-3921
Phone number: 678-378-3226
Mailing Address
THERESA MASEK,LPC
1220 DAVIS RD
CARROLLTON, GA 30116-8201
Phone number: