Individual
MS. MICHOLE J ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
912 KILLIAN HILL RD SW, SUITE 202-C, LILBURN, GA 30047-3110
(404) 626-5962
Mailing address
2850 PARKWAY CLOSE, LITHONIA, GA 30058-4643
(404) 626-5962
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005010
GA
Other
Enumeration date
01/18/2015
Last updated
01/10/2022
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