Individual
MRS. CRESTRE MERITA BODDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3330 CUMBERLAND BLVD SE STE 500, ATLANTA, GA 30339-5997
(770) 933-6222
(404) 228-6597
Mailing address
3330 CUMBERLAND BLVD SE STE 500, ATLANTA, GA 30339-5997
(770) 933-6222
(404) 228-6597
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005782
GA
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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