Individual
TRACI ELMORE DUBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1105 WEST PEACHTREE STREET N.E., ATLANTA, GA 30344
(404) 853-2829
(404) 872-1636
Mailing address
1105 WEST PEACHTREE STREET N.E., P.O. BOX 7948 STATION C, ATLANTA, GA 30344
(404) 853-2829
(404) 872-1636
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004142
GA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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