Individual
JOHN SPISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1050 CROWN POINTE PKWY, STE 450, ATLANTA, GA 30338-7707
(866) 325-5434
(866) 325-5340
Mailing address
50 VERBENA LN APT 2103, HILTON HEAD ISLAND, SC 29926-2385
(843) 689-6867
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001315
GA
Other
Enumeration date
05/28/2013
Last updated
05/28/2013
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