Individual
ANNE ELIZABETH MCMICKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
114 WYNNES RIDGE CIR SE, MARIETTA, GA 30067-6003
(678) 453-8017
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW006653
GA
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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