Organization
MR. LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY WALTON LCSW (CEO)
(912) 224-9104
Entity
Organization
Contact information
Practice address
1445 WOODMONT LN NW, SUITE 3703, ATLANTA, GA 30318
(678) 826-9390
Mailing address
3700 PEBBLE ST, LITHONIA, GA 30038-3397
(912) 224-9104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/18/2023
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