Individual
MRS. RYAN AMORELL WOODBURY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
341 PONCE DE LEON AVE NE, ATLANTA, GA 30308-2012
(404) 616-6302
Mailing address
4420 JANICE DR, COLLEGE PARK, GA 30337-5202
(404) 808-7772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007316
GA
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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