Individual
WILLIETHIA MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 FAYETTEVILLE RD SE, ATLANTA, GA 30316-2921
(404) 564-0454
Mailing address
256 STONE RIDGE CIR, HIRAM, GA 30141-4591
(470) 443-8603
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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