Individual
MS. CAROLYN CETO- KOUMANDARAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
315 W PONCE DE LEON AVE STE 370, DECATUR, GA 30030-2476
(678) 938-2422
Mailing address
4439 N ELIZABETH LN SE, ATLANTA, GA 30339-5321
(678) 938-2422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007019
GA
Other
Enumeration date
03/11/2021
Last updated
02/01/2023
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