Individual
MR. GREGORY L MC COLLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
115 MARTIN LUTHER KING JR DR SW, SUITE 277, ATLANTA, GA 30303-3536
(404) 730-0230
(404) 730-0341
Mailing address
1434 MILL ACRES DR SW, ATLANTA, GA 30311-3216
(404) 730-0230
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001591
GA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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