Individual
AMBER TACKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
(404) 378-2394
Mailing address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
(404) 378-2394
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005209
GA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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