Individual
GWENDOLYN A SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
556 N MCDONOUGH ST, SUITE 1200, DECATUR, GA 30030-3355
(404) 371-7042
Mailing address
279 ALEXANDER ST SE, MARIETTA, GA 30060-2036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW006173
GA
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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