Individual
LAURA KATHLEEN CARMODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1605 PEACHTREE ST NE, ATLANTA, GA 30309-2433
(404) 870-7789
(404) 870-7809
Mailing address
1605 PEACHTREE ST NE, ATLANTA, GA 30309-2433
(404) 870-7789
(404) 870-7809
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW005150
GA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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