Individual
EAMONN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
(404) 875-4551
Mailing address
690 COURTENAY DR NE, ATLANTA, GA 30306-3421
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CSW002273
GA
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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