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Organization

DEKALB RAPE CRISIS CENTER INC

Active
Other names
Dakalb Rape Crisis Center
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PHYLLIS WARDRETT MILLER MSW, LCSW (EXECUTIVE DIRECTOR)
(404) 377-1429
Entity
Organization

Contact information

Practice address
204 CHURCH STREET, DECATUR, GA 30030-3328
(404) 377-1429
(404) 377-5644
Mailing address
204 CHURCH STREET, DECATUR, GA 30030-3328
(404) 377-1429
(407) 377-5644

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW000649
GA

Other

Enumeration date
06/21/2010
Last updated
06/25/2010
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