Individual
CASEY MCCOLLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
LCSW
Contact information
Practice address
3082 E SHADOWLAWN AVE NE, ATLANTA, GA 30305-2404
(215) 987-6808
Mailing address
3082 E SHADOWLAWN AVE NE, ATLANTA, GA 30305-2404
(215) 987-6808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW016407
PA
Other
Enumeration date
02/23/2009
Last updated
05/28/2024
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