Organization
FEDERMAN COUNSELING & PSYCHOTHERAPY, INC
Active
Organization
FEDERMAN COUNSELING & PSYCHOTHERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ILENE BABS FEDERMAN LCSW (PRESIDENT & CEO)
(770) 552-4018
Entity
Organization
Contact information
Practice address
242 CREEKSTONE RDG, WOODSTOCK, GA 30188-3732
(678) 697-2840
Mailing address
7402 SAINT CHARLES SQ, ROSWELL, GA 30075-3873
(770) 552-4018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001454
GA
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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