Individual
MISS INDIRA PADMINI BALKISSOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3110 CLIFTON SPRINGS RD, DECATUR, GA 30034-4600
(404) 243-9500
(404) 244-2224
Mailing address
6006 EAGLE TIFF LN, SUGAR HILL, GA 30518-7103
(678) 447-4040
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34826
TX
1041C0700X
Clinical Social Worker
Primary
CSW003680
GA
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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