Individual
TANYA LEVERETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 GEORGIA AVE SE STE 213, ATLANTA, GA 30312-3000
(404) 543-4420
Mailing address
250 GEORGIA AVE SE STE 213, ATLANTA, GA 30312-3000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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