Individual
AMY BARLAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1050 CROWN POINTE PKWY, STE 450, ATLANTA, GA 30338-7707
(866) 325-5434
(866) 325-5340
Mailing address
855 MULBERRY ST, APT 303, MACON, GA 31201-6729
(203) 895-2539
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW005822
GA
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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