Individual
MISS SAMANTHA JANE PLATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
401 BOMBAY LN, ROSWELL, GA 30076-5826
(770) 664-1920
Mailing address
133 DAYTONA DR, BLOOMINGDALE, GA 31302-4855
(157) 043-6513
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006606
GA
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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