Individual
EULENE PAULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 PILGRIM WAY, FAYETTEVILLE, GA 30214-7141
(770) 870-7288
Mailing address
180 PILGRIM WAY, FAYETTEVILLE, GA 30214-7141
(770) 870-7288
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006487
GA
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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