Individual
SUSAN AHEARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
824 GREENWOOD AVE NE APT 12, ATLANTA, GA 30306-3739
(678) 927-0632
Mailing address
824 GREENWOOD AVE NE APT 12, ATLANTA, GA 30306-3739
(678) 927-0632
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW 003143
GA
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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