Individual
MICHAEL DYKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
345 BOULEVARD NE, ATLANTA, GA 30312-1216
(770) 873-1929
Mailing address
PO BOX 8472, ATLANTA GA, ATLANTA, GA 31106-0472
(770) 873-1929
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003998
GA
Other
Enumeration date
05/17/2013
Last updated
06/09/2022
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