Individual
SHAMIM NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
545 CARDELL CIR SE, MABLETON, GA 30126-4602
(770) 944-7101
Mailing address
545 CARDELL CIR SE, MABLETON, GA 30126-4602
(770) 944-7101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004472
GA
Other
Enumeration date
09/12/2011
Last updated
09/12/2011
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