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Individual

CHRISTINE M BURRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2386 CLOWER ST, BLDG C, SUITE 100, SNELLVILLE, GA 30078-6134
(770) 985-2050
(770) 985-2050
Mailing address
2386 CLOWER ST, BLDG C, SUITE 100, SNELLVILLE, GA 30078-6134
(770) 985-2050
(770) 985-2050

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002958
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
543676761A
GA
Enumeration date
02/08/2007
Last updated
05/18/2011
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