Individual
DR. AMANDA DEE HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD; LCSW
Contact information
Practice address
2296 HENDERSON MILL RD NE STE 115, ATLANTA, GA 30345-2739
(888) 297-9461
Mailing address
211 SELFRIDGE RD, MCDONOUGH, GA 30252-4490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001490
GA
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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