Individual
SOPHIA PHILOGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
444 POMONA CIR SW, ATLANTA, GA 30315-7230
(407) 914-4956
Mailing address
444 POMONA CIR SW, ATLANTA, GA 30315-7230
(407) 914-4956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006963
GA
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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