Individual
MRS. CARRIE CARMICHAEL DORMINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1050 CROWN POINTE PKWY, SUITE 450, ATLANTA, GA 30338-7707
(866) 325-5434
(866) 325-5340
Mailing address
120 HOOD DR, ADEL, GA 31620-4929
(229) 834-9517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003172
GA
Other
Enumeration date
07/14/2006
Last updated
08/26/2011
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