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Individual

MRS. JULIE K WILLETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
12 GRAPEVINE WAY NE, CARTERSVILLE, GA 30121-6058
(770) 548-8596
Mailing address
12 GRAPEVINE WAY NE, CARTERSVILLE, GA 30121-6058
(770) 548-8596

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002871
GA

Other

Enumeration date
04/09/2009
Last updated
04/09/2009
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