Individual
EMILY MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 892-4646
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3836
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004959
GA
Other
Enumeration date
12/23/2013
Last updated
12/23/2013
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