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Individual

MRS. NEITCHA RUTH THOMSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1200 ASHWOOD PKWY STE 140, ATLANTA, GA 30338-8024
(770) 815-6853
Mailing address
4769 VALLEY VIEW CT, ATLANTA, GA 30338-4816
(678) 760-5502

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006844
GA

Other

Enumeration date
09/09/2019
Last updated
09/09/2019
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