Individual
LAUREN STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
755 COMMERCE DR, DECATUR, GA 30030-2627
(470) 338-5225
Mailing address
215 LONDON WAY, LITHIA SPRINGS, GA 30122-6803
(470) 402-6488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW010077
GA
Other
Enumeration date
08/17/2021
Last updated
09/19/2021
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