Individual
MICHELLE ANNE MIRANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1105 WEST PEACHTREE ST.REET, ATLANTA, GA 30309
(404) 853-2800
Mailing address
3884 CARLTON DR, ATLANTA, GA 30341-1827
(770) 452-8929
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW003617
GA
Other
Enumeration date
06/18/2007
Last updated
07/08/2007
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