Individual
ELISE ANTROBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
707 WHITLOCK AVE SW STE C28, MARIETTA, GA 30064-4655
(404) 402-2261
Mailing address
1772 CHASEWOOD PARK LN, MARIETTA, GA 30066-4296
(404) 402-2261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00003434
GA
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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