Individual
MARY POLLY BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5420 RED BERRY LN SW, ATLANTA, GA 30331-7750
(404) 622-4029
Mailing address
5420 RED BERRY LN SW, ATLANTA, GA 30331-7750
(404) 622-4029
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004387
GA
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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