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1407551385
SHELLY ELYSE EISENSTADT
MARIETTA, GA
NPI
1407551385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA csw004993)
Enumeration Date
2023-03-31
Last Update Date
2023-03-31
Business Address
SHELLY ELYSE EISENSTADT LCSW
4415 KINGS WAY NE
MARIETTA, GA 30067-3633
Phone number: 404-518-5325
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Mailing Address
SHELLY ELYSE EISENSTADT LCSW
4415 KINGS WAY NE
MARIETTA, GA 30067-3633
Phone number: 404-518-5325
Copy
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