Individual
AUDREY DENISE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1227 ROCKBRIDGE RD STE 208, STONE MOUNTAIN, GA 30087-3068
(678) 852-8797
Mailing address
1227 ROCKBRIDGE RD STE 208, STONE MOUNTAIN, GA 30087-3068
(678) 852-8797
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008094
GA
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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