Individual
STACI R LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1820 THE EXCHANGE SE STE 750, ATLANTA, GA 30339-2088
(678) 744-8313
Mailing address
877 BIRDS ML SE, MARIETTA, GA 30067-5141
(770) 596-1237
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/25/2024
Last updated
05/02/2025
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