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Organization

CROSSROADS THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNETTE CLARK (CREDENTIALING MANAGER)
(770) 339-7667
Entity
Organization

Contact information

Practice address
4244 POTOMAC WALK CT, LOGANVILLE, GA 30052-8847
(770) 624-6572
Mailing address
4244 POTOMAC WALK CT, LOGANVILLE, GA 30052-8847
(770) 624-6572

Taxonomy

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

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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