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Mary Elizabeth Krusac
Mental Health Counselor in Dallas, Georgia
NPI 1003578253

Mary Elizabeth Krusac is a Mental Health Counselor based in Dallas, GA and is specialized in Mental Health. Mary Elizabeth Krusac practices in Dallas, GA. The NPI Number for Mary Elizabeth Krusac is 1003578253 and holds a License No. LMSW008594 (Georgia).

The current practice location address for Mary Elizabeth Krusac is 118 Birch River Ct, Dallas, GA and can be reached out via phone at 678-744-8417.

Location: 118 Birch River Ct, Dallas, GA, 30132-5575
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003578253
Provider Name
Mary Elizabeth Krusac
Credential
Provider Entity Type
Individual
Gender
Female
Address
118 Birch River Ct, Dallas, GA, 30132-5575
Phone Number
678-744-8417
Fax Number
Provider Enumeration Date
10/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
118 Birch River Ct
City
Dallas
State
Georgia
Zip
30132-5575
Phone Number
678-744-8417
Fax Number
person
Provider Business Mailing Address Details
Address
118 Birch River Ct
City
Dallas
State
Georgia
Zip
30132-5575
Phone Number
678-744-8417
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LMSW008594 (Georgia)
Definition
Definition to come...
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