Individual
ELIZA SEGELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 DEKALB INDUSTRIAL WAY STE D-1, DECATUR, GA 30030
(770) 421-5271
(770) 995-1959
Mailing address
165 DEKALB INDUSTRIAL WAY STE D-1, DECATUR, GA 30030-2230
(770) 421-5271
(770) 995-1959
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW008198
GA
1041C0700X
Clinical Social Worker
Primary
MSW008198
GA
Other
Enumeration date
11/16/2018
Last updated
11/11/2019
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