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Individual

MISS NADINE COLEEN OLDHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2785 LAWRENCEVILLE HWY STE 205, DECATUR, GA 30033-2515
(404) 371-1230
Mailing address
4101 DUNWOODY CLUB DR UNIT 10, DUNWOODY, GA 30350-5200
(646) 316-3418

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006597
GA

Other

Enumeration date
11/25/2019
Last updated
11/25/2019
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