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Individual

MS. MARGARET R GERONIMO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW, LMFT

Contact information

Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-7700
(404) 508-7891
Mailing address
445 WINN WAY, P O BOX 1648, DECATUR, GA 30030-1707
(404) 294-3836
(404) 508-7891

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001111
GA
1041C0700X
Clinical Social Worker
MFT000061
GA

Other

Enumeration date
12/21/2011
Last updated
12/18/2012
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