Individual
MRS. JULIE LAVAUGHN CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 MARTIN DR, CARROLLTON, GA 30117-2425
(404) 321-6111
(404) 417-2986
Mailing address
180 MARTIN DR, CARROLLTON, GA 30117-2425
(404) 321-6111
(404) 417-2986
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
53850
TX
1041C0700X
Clinical Social Worker
CWS005641
GA
Other
Enumeration date
08/04/2010
Last updated
05/03/2019
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