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Individual

CHRISTINA K CARRICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
235 E PONCE DE LEON AVE STE 120, DECATUR, GA 30030-3412
(404) 242-3395
Mailing address
1604 BRIARCLIFF RD NE APT 6, ATLANTA, GA 30306-2130
(404) 242-3395

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006534
GA

Other

Enumeration date
03/03/2008
Last updated
03/06/2024
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