Individual
SAMUEL MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4482 COMMERCE DR, BUFORD, GA 30518-7512
(770) 904-1761
Mailing address
115 E MAIN ST STE A1B-8L, BUFORD, GA 30518-5727
(770) 904-1761
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006103
GA
Other
Enumeration date
06/29/2017
Last updated
08/04/2022
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