Individual
MR. MERVIN LEROY DARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
2300 LAKE PARK DR SE, SMYRNA, GA 30080-4076
(404) 872-5027
Mailing address
1723 N PELHAM RD NE, ATLANTA, GA 30324-5260
(404) 541-3008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002602
GA
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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