Individual
KAREN MELLOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1588 DEER PARK RD NE, ATLANTA, GA 30345-4144
(404) 561-9670
Mailing address
1588 DEER PARK RD NE, ATLANTA, GA 30345-4144
(404) 561-9670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004214
GA
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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