Individual
SHANICE MYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-7700
Mailing address
PO BOX 1648, DECATUR, GA 30031-1648
(404) 294-3835
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006465
GA
Other
Enumeration date
09/25/2018
Last updated
04/03/2026
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