Individual
MARQUITA THOMAS-BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3372 ACWORTH SUMMIT BLVD NW, ACWORTH, GA 30101-5770
(770) 695-7614
Mailing address
3372 ACWORTH SUMMIT BLVD NW, ACWORTH, GA 30101-5770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007154
GA
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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