Individual
AILSA CRUICKSHANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
409 OLD BORING LN, WOODSTOCK, GA 30189-2495
(770) 928-7300
Mailing address
5008 WINDING HILLS LN, WOODSTOCK, GA 30189-2565
(404) 242-7256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW010884
GA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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