Individual
FANIKE-KIARA OLUGBALA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
157 FORSYTH ST SW, ATLANTA, GA 30303-3634
(770) 502-5593
Mailing address
2283 NOTTLEY WALK, MARIETTA, GA 30066-8610
(770) 502-5593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004694
GA
Other
Enumeration date
08/25/2011
Last updated
01/22/2024
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