Individual
MOSHE MARVIN E GITTELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
250 ARROWHEAD BLVD, JONESBORO, GA 30236-1106
(404) 617-2469
(770) 603-3063
Mailing address
289 ROBIN HOOD RD NE, NORTHEAST, ATLANTA, GA 30309-2635
(404) 617-2469
(770) 603-3063
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001061
GA
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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