Individual
LILY ELIZABETH WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5775 GLENRIDGE DR STE 310, ATLANTA, GA 30328-5380
(216) 245-5590
Mailing address
5775 GLENRIDGE DR STE 310, ATLANTA, GA 30328-5380
(347) 563-5736
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1701084
OH
1041C0700X
Clinical Social Worker
Primary
CSW007468
GA
Other
Enumeration date
10/21/2017
Last updated
01/13/2022
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