Individual
MONTINIQUE MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 CRESCENT CENTER PKWY STE 150, TUCKER, GA 30084-7047
(404) 365-0966
Mailing address
3495 PIEDMONT RD NE, BLDG 9 1ST FLOOR, ATLANTA, GA 30305-1736
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005691
GA
Other
Enumeration date
04/29/2015
Last updated
04/12/2022
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