Individual
ISADORA TRASK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1230 PEACHTREE ST NE FL 19, ATLANTA, GA 30309-3574
(470) 763-3635
(404) 263-0054
Mailing address
1455 LANVALE DR SW, ATLANTA, GA 30310-3728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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