Individual
CAROL ANN OSBALDESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 263-6285
(678) 990-8997
Mailing address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 263-6285
(678) 990-8997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004639
GA
Other
Enumeration date
09/21/2012
Last updated
09/22/2012
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