Individual
ATIYA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3113 CUMBERLAND CLUB DR, ATLANTA, GA 30339-4921
(678) 523-0970
Mailing address
PO BOX 1860, SMYRNA, GA 30081-1860
(678) 523-0970
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005598
GA
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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