Individual
JULIET IHEDIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 EVANS MILL DR STE 305, DALLAS, GA 30157-1623
(678) 348-6390
(678) 550-6380
Mailing address
110 EVANS MILL DR STE 305, DALLAS, GA 30157-1623
(678) 348-6390
(678) 550-6380
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007463
GA
172V00000X
Community Health Worker
—
—
Other
Enumeration date
04/09/2012
Last updated
08/28/2022
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