Individual
AMANDA MICHELLE GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
555 SUN VALLEY DR STE M2, ROSWELL, GA 30076-5631
(678) 381-1687
Mailing address
555 SUN VALLEY DR STE M2, ROSWELL, GA 30076-5631
(678) 381-1687
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW013163
GA
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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