Individual
NICOLE MANJIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
70 WELLSTONE PL, COVINGTON, GA 30014-7075
(305) 575-7000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006449
GA
Other
Enumeration date
08/25/2014
Last updated
06/15/2021
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