Individual
AMY WALLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1113 COUNTRY LN NE, ATLANTA, GA 30324-4519
(770) 235-6339
Mailing address
1113 COUNTRY LN NE, ATLANTA, GA 30324-4519
(770) 235-6339
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006081
GA
Other
Enumeration date
12/21/2022
Last updated
12/21/2022
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