Individual
AFFINITI HARRIS-MORDECAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
419 E CROSSVILLE RD STE 207, ROSWELL, GA 30075-3080
(770) 545-6443
Mailing address
8920 EVES RD UNIT 769491, ROSWELL, GA 30076-0131
(770) 545-6443
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW005388
GA
Other
Enumeration date
08/15/2013
Last updated
12/28/2023
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