Individual
ANDREE MICHELE MICELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
165 CALVERTON LN, TYRONE, GA 30290-1739
(404) 550-2201
Mailing address
165 CALVERTON LN, TYRONE, GA 30290-1739
(404) 550-2201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002284
GA
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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