Individual
MALLORY MATTIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1435 HAW CREEK CIR, CUMMING, GA 30041-6566
(470) 253-1963
Mailing address
56 CHOCTAW RDG S, DAHLONEGA, GA 30533-5627
(678) 231-3901
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009614
GA
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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