Organization
IAIN HALSTEAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN JAMES HALSTEAD LCSW (DIRECTOR)
(678) 792-8677
Entity
Organization
Contact information
Practice address
3855 SHALLOWFORD RD STE 420, MARIETTA, GA 30062-4197
(678) 792-8677
(770) 993-8004
Mailing address
3855 SHALLOWFORD RD STE 420, MARIETTA, GA 30062-4197
(678) 792-8677
(770) 993-8004
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003598
GA
Other
Enumeration date
04/27/2012
Last updated
08/20/2021
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