Individual
MR. MICHAEL J MCHUGH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
390 PROSPECT PL, ALPHARETTA, GA 30005-5467
(678) 851-0528
Mailing address
5680 PEACHTREE PKWY STE B, PEACHTREE CORNERS, GA 30092-2857
(678) 851-0528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1400
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
474600636
TAX ID
GA
Enumeration date
07/15/2015
Last updated
10/26/2020
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