Individual
MS. CHARMAINE VERONICA MATTOCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7413 GOSSAMER ST, UNION CITY, GA 30291-6100
(404) 664-2381
Mailing address
PO BOX 660253, AUSTIN, TX 78766-7253
(512) 649-2270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004754
GA
Other
Enumeration date
07/30/2013
Last updated
10/20/2021
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