Individual
MARY E NEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5435 SUGARLOAF PKWY STE 1104, LAWRENCEVILLE, GA 30043-5700
(678) 977-8619
Mailing address
2362 BIRCH HOLLOW TRL, LAWRENCEVILLE, GA 30043-6335
(678) 977-8619
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW003959
GA
Other
Enumeration date
09/25/2008
Last updated
03/03/2014
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