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NPI Code Detail

MEDICARE: MONICA DUTKE

MEDICARE: MONICA DUTKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC007934GA

General Provider Information

NPI Number : 1427458066
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA DUTKE
Provider Business Mailing Address
First Line : 67 PEACHTREE PARK DR NE STE 102
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1318
Country : US
Telephone Number : 770-337-6631
Fax Number :
Provider Business Practice Location Address
First Line : 67 PEACHTREE PARK DR NE STE 102
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1318
Country : US
Telephone Number : 770-337-6631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2014
Last Update Date : 03/16/2020

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Directions to “ MONICA DUTKE ” Practice Location

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