Individual
MS. SHANTREAS NICOLE O'NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1800 PHOENIX BLVD STE 128-12, ATLANTA, GA 30349-5593
(678) 851-5104
Mailing address
PO BOX 7716, MARIETTA, GA 30065-1716
(678) 851-5104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005293
GA
Other
Enumeration date
12/18/2017
Last updated
05/07/2024
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