Individual
ALICE M DEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 HUNTINGTON RD, SUITE 703, ATHENS, GA 30606-7204
(706) 425-8900
(706) 425-8600
Mailing address
1 HUNTINGTON RD, ATHENS, GA 30606-7204
(706) 425-8900
(706) 425-8600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MSW004192
GA
1041C0700X
Clinical Social Worker
Primary
CSW004284
GA
Other
Enumeration date
06/18/2007
Last updated
03/18/2013
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