Individual
DR. ALTA B EBLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2931 PACES FERRY RD SE, SUITE 1, ATLANTA, GA 30339-3732
(770) 432-9750
Mailing address
2257 BRIANWOOD TRL, DECATUR, GA 30033-1719
(404) 634-1791
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
138
GA
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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