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Individual

MS. AMY TAYLOR SCULLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, MSW

Contact information

Practice address
735 KIRK RD, DECATUR, GA 30030-4529
(404) 310-2275
Mailing address
735 KIRK RD, DECATUR, GA 30030-4529
(404) 310-2275

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW006497
GA
104100000X
Social Worker
MSW006599
GA

Other

Enumeration date
12/03/2015
Last updated
05/04/2022
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