Individual
OMAR SHAKOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835
(404) 508-7795
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3835
(404) 508-7795
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW006219
GA
Other
Enumeration date
01/30/2016
Last updated
01/30/2016
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