Individual
MS. ANITA MCCULLOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2751 BUFORD HWY NE STE 700, ATLANTA, GA 30324-5510
(404) 807-2770
Mailing address
375 RALPH MCGILL BLVD NE APT 1202, ATLANTA, GA 30312-1248
(404) 797-4427
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009090
GA
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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