MARY LANE

ATLANTA, GA
NPI1215450234
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW007041)
Enumeration Date2017-07-21
Last Update Date2021-07-16
Business Address
MARY LANE LISW
1401 HOSEA WILLIAMS DR SE
ATLANTA, GA 30317-1703
Phone number: 404-373-6614
Mailing Address
MARY LANE LISW
1353 GEORGE W BRUMLEY WAY SE
ATLANTA, GA 30317-1743
Phone number: 404-373-6614
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