Individual
SANDRA L EBRAHIMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1784 CENTURY BLVD NE STE B, ATLANTA, GA 30345-3313
(404) 417-1967
Mailing address
1784 CENTURY BLVD NE STE B, ATLANTA, GA 30345-3313
(404) 417-1967
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
302
GA
Other
Enumeration date
05/18/2007
Last updated
12/31/2008
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