Individual
ANNALEE CRAIGMILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(470) 355-5319
Mailing address
120 E TRINITY PL, DECATUR, GA 30030-3302
(470) 355-5319
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW007421
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508913963
—
GA
Enumeration date
02/21/2019
Last updated
02/21/2019
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