Individual
STACY W FROELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
299 COOPER RD STE A, LOGANVILLE, GA 30052-2579
(678) 643-6782
(770) 962-0088
Mailing address
299 COOPER RD STE A, LOGANVILLE, GA 30052-2579
(678) 643-6782
(770) 962-0088
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
CSW006215
GA
Other
Enumeration date
04/17/2014
Last updated
03/17/2018
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