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Individual

ERICA ACEBO-JOHNSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
8335 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6937
(678) 324-0476
Mailing address
3197 IVORY TRL SW, MARIETTA, GA 30060-6368

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005891
GA

Other

Enumeration date
01/16/2018
Last updated
01/16/2018
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