Individual
LUCIA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1455 LINCOLN PKWY E, SUITE 360, ATLANTA, GA 30346-2209
(770) 392-7989
(770) 392-7969
Mailing address
1455 LINCOLN PKWY E, SUITE 360, ATLANTA, GA 30346-2209
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002603
GA
Other
Enumeration date
12/18/2006
Last updated
01/29/2015
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