Individual
ANGELA MONTGOMERY EELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 DOLLY ST, GRAY, GA 31032-5307
(478) 491-1991
Mailing address
PO BOX 818, GRAY, GA 31032-0818
(478) 491-1991
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4277
GA
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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