Organization
STANLEY M.E.ALLEN LCSW,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY M.E. ALLEN MSW (CLINICAL SOCIAL WORKER)
(770) 923-9200
Entity
Organization
Contact information
Practice address
1770 INDIAN TRAIL RD, SUITE 200, NORCROSS, GA 30093-2645
(770) 923-9200
(770) 923-2556
Mailing address
1770 INDIAN TRAIL RD, SUITE 200, NORCROSS, GA 30093-2645
(770) 923-9200
(770) 923-2556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
707
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
032860193A
—
GA
Enumeration date
07/29/2006
Last updated
01/11/2012
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