Individual
ELIZABETH ANNE GENGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3807 CLAIRMONT RD, CHAMBLEE, GA 30341-4911
(770) 457-5867
Mailing address
3807 CLAIRMONT RD, CHAMBLEE, GA 30341-4911
(770) 457-5867
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW008599
GA
1041C0700X
Clinical Social Worker
Primary
CSW008333
GA
Other
Enumeration date
05/22/2019
Last updated
03/20/2023
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