Individual
MIGUEL ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3495 PIEDMONT ROAD NE, ATLANTA, GA 30305
(404) 364-7000
Mailing address
350 DOLLAR MILL ROAD SW, ATLANTA, GA 30331
(646) 407-5064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007807
GA
Other
Enumeration date
12/12/2023
Last updated
12/12/2023
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