Individual
LULA HAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1313 TEAKWOOD TRL, STONE MOUNTAIN, GA 30083-5239
(404) 667-5448
Mailing address
1313 TEAKWOOD TRL, STONE MOUNTAIN, GA 30083-5239
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW005221
GA
Other
Enumeration date
02/23/2011
Last updated
02/23/2011
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