Individual
ANDREA K BOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3807 CLAIRMONT RD, CHAMBLEE, GA 30341-4911
(404) 892-4646
Mailing address
PO BOX 1648, 445 WINN WAY, DECATUR, GA 30031
(404) 294-3835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003601
GA
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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