Individual
SIBABALWE MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 CENTER DR STE 200, DUNWOODY, GA 30338-4135
(267) 730-3396
Mailing address
1360 CENTER DR STE 200, DUNWOODY, GA 30338-4135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MSW011002
GA
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
MSW011002
GA
Other
Enumeration date
09/02/2021
Last updated
09/24/2024
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