Individual
MR. PHILLIP T TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED
Contact information
Practice address
8075 MALL PKWY, SUITE 101-334, LITHONIA, GA 30038-6993
(404) 944-6166
(770) 322-0487
Mailing address
8075 MALL PKWY, SUITE 101-334, LITHONIA, GA 30038-6993
(404) 944-6166
(770) 322-0487
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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