Individual
L MARK WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
20 GLENLAKE PARKWAY, DEPARTMENT OF BEHAVIORAL HEALTH, ATLANTA, GA 30328
(770) 677-7370
(770) 677-7389
Mailing address
3495 PIEDMONT RD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1736
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002394
GA
Other
Enumeration date
09/20/2006
Last updated
04/13/2022
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