Individual
MICHAEL BENJAMIN DWYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1551 JENNINGS MILL RD UNIT 1700B, WATKINSVILLE, GA 30677-7266
(404) 450-1300
Mailing address
349 MEIGS ST, ATHENS, GA 30601-2429
(706) 338-2600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008279
GA
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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