Individual
MR. TODD PRENTICE VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2801 CLEARVIEW PL, DORAVILLE, GA 30340-2116
(678) 805-5158
(770) 216-9609
Mailing address
2801 CLEARVIEW PL, DORAVILLE, GA 30340-2116
(678) 805-5158
(770) 216-9609
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CSW004833
GA
Other
Enumeration date
08/10/2023
Last updated
08/10/2023
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