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Individual

ELIZABETH ROSE BANERJEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5250 MIMOSA DR, STONE MOUNTAIN, GA 30083-3625
(863) 206-1659
Mailing address
5250 MIMOSA DR, STONE MOUNTAIN, GA 30083-3625
(863) 206-1659

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007872
GA

Other

Enumeration date
12/29/2021
Last updated
12/29/2021
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