Individual
MARY DENISE HITCHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003177
GA
Other
Enumeration date
08/04/2013
Last updated
08/04/2013
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