Individual
MS. REBECCA ANNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MDIV
Contact information
Practice address
321 W HILL ST, SUITE 2C, DECATUR, GA 30030-4362
(678) 827-3456
Mailing address
321 W HILL ST, SUITE 2C, DECATUR, GA 30030-4362
(678) 827-3456
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004279
GA
Other
Enumeration date
08/03/2011
Last updated
12/08/2016
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