Individual
HOLLY STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5748 PINE OAK DR, NORCROSS, GA 30092-3508
(404) 680-6880
Mailing address
5748 PINE OAK DR, NORCROSS, GA 30092-3508
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007267
GA
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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