Individual
AMANDA GABRIELLA MOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 OAKSIDE LN, CANTON, GA 30114-6413
(678) 807-1050
Mailing address
PO BOX 307, CUMMING, GA 30028-0307
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
CSW006373
—
1041C0700X
Clinical Social Worker
Primary
CSW006373
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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