Individual
MARY V POORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W
Contact information
Practice address
155 EAGLES WALK, SUITE F, STOCKBRIDGE, GA 30281-6342
(770) 389-8100
(770) 389-3030
Mailing address
155 EAGLES WALK, SUITE F, STOCKBRIDGE, GA 30281-6342
(770) 389-8100
(770) 389-3030
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001749
GA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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