Individual
MRS. ALISA FAYE BEATTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
901 BOMBAY LN, ROSWELL, GA 30076-5829
(770) 664-1920
Mailing address
11675 BENTHAM CT, ALPHARETTA, GA 30005-8940
(404) 271-3641
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002995
GA
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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