Individual
MR. MATTHEW CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
250 SCENIC HWY, LAWRENCEVILLE, GA 30046-5675
(678) 442-5857
(678) 442-5915
Mailing address
521 FAIRWAY DR, WOODSTOCK, GA 30189-6195
(770) 362-3077
(770) 672-0669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW003821
GA
Other
Enumeration date
10/09/2007
Last updated
05/12/2012
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