Individual
MS. SANDRA LYNNE MOORE-POPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2246 SHASTA WAY NE, ATLANTA, GA 30345-2604
(404) 309-6397
(404) 471-1723
Mailing address
2246 SHASTA WAY NE, ATLANTA, GA 30345-2604
(404) 309-6397
(404) 471-1723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
09130
TX
1041C0700X
Clinical Social Worker
Primary
CSW004094
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0642464-01
—
TX
Enumeration date
03/02/2011
Last updated
03/02/2011
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