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Organization

CAROLYN MINOR LCSW, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLYN MINOR LCSW (OWNER)
(770) 995-7789
Entity
Organization

Contact information

Practice address
175 LANGLEY DR, STE B1, LAWRENCEVILLE, GA 30046-6929
(770) 995-7789
(770) 995-0171
Mailing address
175 LANGLEY DR, STE B1, LAWRENCEVILLE, GA 30046-6929
(770) 995-7789
(770) 995-0171

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001499
GA

Other

Enumeration date
03/26/2014
Last updated
03/26/2014
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