Individual
AMY LOU KRATCOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2525 CUMBERLAND PKWY SE, ATLANTA, GA 30339-3915
(770) 431-4100
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1717
(404) 364-7285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003108
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11811153
CAQH
—
Enumeration date
02/12/2008
Last updated
04/14/2022
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