Provider Information for 1932479581
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Mrs. DARICE MARIE DODD EdS, NCC, LPC
Other Names:Former Name:DARICE MARIE MCDUFFIE EdS, NCC, LPCSex: Female
NPI: 1932479581
Last Updated: 2025-03-31
Certification Date: 2025-03-31
Certification Date: 2025-03-31
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1932479581 | ||||||||||||
| Enumeration Date | 2012-01-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 909 COLLEGE PLACE CT NW KENNESAW, GA 30144-7188 United States Phone: 404-345-1191 | Fax: | ||||||||||||
| Primary Practice Address | 909 COLLEGE PLACE CT NW KENNESAW, GA 30144-7188 United States Phone: 404-345-1191 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 3745 CHEROKEE ST NW STE 903 | ||||||||||||
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