Individual
MS. RAE LYNNE MATTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
THE CENTER FOR THERAPEUTIC ARTS, 2037 ROSEBUD ROAD, GRAYSON, GA 30017-1226
(770) 962-9597
(770) 279-7588
Mailing address
296 ECARTE COURT, LILBURN, GA 30047-6412
(770) 962-9597
(770) 279-7588
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW 001809
GA
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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