Individual
MRS. LYNNE COLLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
903 PAVILION CT STE D, MCDONOUGH, GA 30253-6672
(404) 913-9114
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835
(404) 508-7795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005459
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003245471A
—
GA
Enumeration date
11/12/2013
Last updated
04/06/2021
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