Female

Mary A. Dallas

Mental Health Counselor in Atlanta, GA(View on Map)

Full Name

Mary Agnes Dallas

NPI Number

1043674443

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/12/2016

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

2302 PARKLAKE DR NE
2302 PARKLAKE DR NE

City

Atlanta
Atlanta

State

GA
GA

Postal Code

30345-2896
30345-2896

Country

US
US

Telephone Number

(770) 621-0469
(770) 621-0469

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/12/2016

Provider Address

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