Individual
JOSEPH Y BOTNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1430 STEPHENS DR NE, ATLANTA, GA 30329-3716
(404) 245-6536
Mailing address
1430 STEPHENS DR NE, ATLANTA, GA 30329-3716
(404) 245-6536
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001895
GA
Other
Enumeration date
06/17/2008
Last updated
01/08/2015
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