Provider Information for 1831696574
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ZOE ENA SEGERS LPC
Sex: Female
NPI: 1831696574
Last Updated: 2018-04-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1831696574 | ||||||||
| Enumeration Date | 2018-04-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 4255 WADE GREEN RD NW STE 414 KENNESAW, GA 30144-1763 United States Phone: 678-213-2194 | Fax:678-922-7767 | ||||||||
| Primary Practice Address | 1000 JOHNSON FERRY RD STE 105 MARIETTA, GA 30068-2114 United States Phone: 678-213-2194 | Fax: | ||||||||
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