Individual
MRS. MARY LOU PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-CP
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1551 HEATHERMOOR WAY, DACULA, GA 30019-7255
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
5731
SC
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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