ANNAI LOPEZ TAVIRA CRUZ

NORCROSS, GA
NPI1982054409
Professional NameANNAI TAVIRA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: GA  MFT001573)
Enumeration Date2016-06-15
Last Update Date2019-04-03
Business Address
ANNAI LOPEZ TAVIRA CRUZ MFT, LMFT
6015 ATLANTIC BLVD STE A
NORCROSS, GA 30071-1343
Phone number: 770-361-4607
Mailing Address
ANNAI LOPEZ TAVIRA CRUZ MFT, LMFT
824 WHITEHAVEN LN
LAWRENCEVILLE, GA 30043-6666
Phone number:
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