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Individual

MS. NANCY EYVONNE CALLOWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
2591 CANDLER RD, DECATUR, GA 30032-6502
(678) 209-2710
Mailing address
11440 VINEA WAY, HAMPTON, GA 30228-6258
(404) 345-0701

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4043450701
GA
1041C0700X
Clinical Social Worker
Primary
CSW003668
GA

Other

Enumeration date
10/18/2012
Last updated
10/18/2012
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