Individual
KAREN TANTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5400 LAUREL SPRINGS PKWY, 602, SUWANEE, GA 30024-6056
(678) 213-2194
(678) 213-2215
Mailing address
5400 LAUREL SPRINGS PKWY, 602, SUWANEE, GA 30024-6056
(678) 213-2194
(678) 213-2215
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW004053
GA
Other
Enumeration date
01/25/2010
Last updated
07/12/2012
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