Individual
MRS. DIVYA R THATIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
520 CLARIDGE WALK CT, DULUTH, GA 30097-1861
(331) 454-2874
Mailing address
520 CLARIDGE WALK CT, DULUTH, GA 30097-1861
(331) 454-2874
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007583
GA
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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