Individual
MS. MIATA O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
165 BURKE ST STE 109, STOCKBRIDGE, GA 30281-3464
(770) 389-9886
Mailing address
542 WOODSTONE RD, LITHONIA, GA 30058-5900
(678) 485-8772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001994
GA
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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