Individual
MS. MELISSA BROOKE EBNETER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3688 KINNARD DR, ATLANTA, GA 30360-1504
(404) 861-8733
Mailing address
3688 KINNARD DR, ATLANTA, GA 30360-1504
(404) 861-8733
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006572
GA
Other
Enumeration date
08/03/2022
Last updated
08/03/2022
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