Individual
SHIRLEY LOUISE MACLEOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8341 GRADY ST, DOUGLASVILLE, GEORGIA 30134, DOUGLASVILLE, GA 30134-6910
(678) 327-8676
(770) 489-0406
Mailing address
6485 W RIDGE CT, DOUGLASVILLE, GA 30135-6147
(770) 949-6105
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001368
GA
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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