|Active||Over 10 years ago|
|290 CONSTITUTION BLVD
LAWRENCEVILLE GA, 30045-5638, US
|5825 MILLWICK DR
ALPHARETTA GA, 30005-6732, US
|Remove 1164567137 NPI Number|
According to our database, Mrs. Kathleen Shack M.S., LMFT NPI is 1164567137, taxonomy code is 106H00000X and license number is 0000928, license state is located at Georgia. Kathleen Shack M.S., LMFT physically located at 290 Constitution Blvd, Lawrenceville GA, 30045-5638. NPI Number Kathleen Shack M.S., LMFT has the Individual type.
1164567137 NPI number is provided on an as is basis without warranty of any kind. 1164567137 is maintained by the National Plan & Provider Enumeration System. The contents of Kathleen Shack M.S., LMFT are for informational purposes only.