Individual
MRS. AMY MARIE DEROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
37 CALUMET PKWY STE 100, NEWNAN, GA 30263-6734
(770) 304-0072
Mailing address
37 CALUMET PKWY STE 100, NEWNAN, GA 30263-6734
(770) 304-0072
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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