NPI 1033091319

Honidu Marico, CHWCPSPDOULACMC

Practitioner Peer Specialist Stone Mountain, GA

Practice location

Address: 957 Main St STE A108, Stone Mountain, GA 30083-3060
Phone: (470) 336-2149

Registered specialties (3)

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Community Health Worker

Other Service Providers Taxonomy 172V00000X

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Registry record

NPI: 1033091319
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2025
Record last updated: 25 Jul 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.