Individual
KOURTNEY DENISE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1000 JOHNSON FERRY ROAD N.E., ATLANTA, GA 30342-1611
(404) 300-2144
(404) 851-8271
Mailing address
5950 LIVE OAK PKWY, STE 204, NORCROSS, GA 30093-1743
(770) 892-7637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW5562
GA
1041S0200X
School Social Worker
MSW005689
GA
Other
Enumeration date
08/28/2012
Last updated
01/28/2021
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