Individual
PEJMAN MAHDAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
(678) 212-6343
Mailing address
1443 HARTMAN DR SW, LILBURN, GA 30047-2438
(310) 666-1599
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005171
GA
Other
Enumeration date
01/20/2011
Last updated
06/14/2019
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