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Individual

ELLEN FEDERICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1050 CROWN POINTE PKWY, STE 450, ATLANTA, GA 30338-7707
(866) 325-5434
Mailing address
1158 GREENWICH PASS, GROVETOWN, GA 30813-5880
(706) 496-2675

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004114
GA

Other

Enumeration date
08/27/2009
Last updated
08/27/2009
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