Organization
SANDRA PETRAKIS CHILDS LCSW LMFT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA PETRAKIS CHILDS LCSW LMFT (OWNER)
(770) 458-8909
Entity
Organization
Contact information
Practice address
2900 CHAMBLEE TUCKER RD, SUITE 210, ATLANTA, GA 30341-4100
(770) 458-8909
(678) 720-0993
Mailing address
1540 PARK CREEK CV NE, BROOKHAVEN, GA 30319-2146
(770) 458-8909
(678) 720-0993
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW000536
GA
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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