Individual
STACIE NEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
01/22/2016
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