Individual
GRETCHEN CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 W PARK PLACE BLVD, STONE MOUNTAIN, GA 30087-6713
(678) 330-1400
Mailing address
185 HAZELHURST DR, COVINGTON, GA 30016-1322
(678) 517-7034
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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