Individual
MANUEL SANCHEZ- MEJORADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
Mailing address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004309
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
580899552
CCCG ID
GA
Enumeration date
08/28/2012
Last updated
08/28/2012
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