Individual
JOHN ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
140 LISA LN, DALTON, GA 30720-3807
(423) 771-9536
Mailing address
140 LISA LN, DALTON, GA 30720-3807
(423) 771-9536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006516
GA
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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