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Organization
TRIAD EP, PC
Active
Organization
TRIAD EP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GLICK LCSW (PRESIDENT)
(770) 331-8760
Entity
Organization
Contact information
Practice address
316 ALEXANDER ST SE, SUITE 6, MARIETTA, GA 30060-2001
(770) 331-8760
(678) 581-0146
Mailing address
316 ALEXANDER ST SE, SUITE 6, MARIETTA, GA 30060-2001
(770) 331-8760
(678) 581-0146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002732
GA
Other
Enumeration date
06/30/2008
Last updated
01/02/2013
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