Individual
MADISON LANIER PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
(404) 984-5070
Mailing address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008969
GA
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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