Individual
MRS. TAMARA MANIS PERCIFUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
4167 ROSWELL ROAD, NE, ATLANTA, GA 30342
(404) 252-5055
(404) 252-5589
Mailing address
4167 ROSWELL ROAD, NE, ATLANTA, GA 30342
(404) 252-5055
(404) 252-5589
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
#CSW002745
GA
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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