Individual
MARCIA VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1924 CLAIRMONT RD STE 220, DECATUR, GA 30033-3412
(404) 964-9814
Mailing address
2500 SHALLOWFORD RD NE APT 4403, ATLANTA, GA 30345-1225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005909
GA
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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