Individual
STEPHANIE WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
215 NORTH AVE NE, APT 2505, ATLANTA, GA 30308-2411
(616) 340-2100
Mailing address
215 NORTH AVE NE, APT 2505, ATLANTA, GA 30308-2411
(616) 340-2100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW006907
GA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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