Individual
MRS. DOROTHY CEREZOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
115 HABERSHAM DR, FAYETTEVILLE, GA 30214
(770) 461-9944
(770) 461-9779
Mailing address
115 HABERSHAM DR, FAYETTEVILLE, GA 30214
(770) 461-9944
(770) 461-9779
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003032
GA
Other
Enumeration date
12/13/2006
Last updated
12/29/2010
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