Individual
ELENA CUCLIS TENNANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2751 BUFORD HWY #204, ATLANTA, GA 30324
(404) 994-8282
Mailing address
70 SPRUCE ST NE APT 24, ATLANTA, GA 30307
(707) 227-6269
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010182
GA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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