STEPHANIE E. MOULTRIE

COVINGTON, GA
NPI1063664068
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW004041)
Enumeration Date2008-10-21
Last Update Date2008-10-21
Business Address
-- STEPHANIE E. MOULTRIE LCSW
8201 HAZELBRAND RD NE
COVINGTON, GA 30014-1510
Phone number: 770-787-3977
Mailing Address
-- STEPHANIE E. MOULTRIE LCSW
PO BOX 687
LAWRENCEVILLE, GA 30046-0687
Phone number:
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