| Mary Stack, LCSW | |
|
6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071-1727 | |
| (770) 743-0004 | |
| (404) 900-5453 |
| Full Name | Mary Stack |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144757659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004583 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Stack, LCSW 3497 Tulip Tree Ln, Duluth, GA 30096-5332 Ph: (678) 234-3685 | Mary Stack, LCSW 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071-1727 Ph: (770) 743-0004 |
Rachelle Wicker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1535 Holcomb Bridge Rd Apt C, Peachtree Corners, GA 30092 Phone: 404-585-0731 | |
Justin Gordon, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071 Phone: 404-900-5450 Fax: 404-900-5453 | |
Mrs. Charney Davis, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 6251 Smithpointe Dr Ste 204, Peachtree Corners, GA 30092 Phone: 678-577-8330 | |
Hyunsu Shin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6185 Buford Hwy, Building G, Peachtree Corners, GA 30071 Phone: 770-446-0929 Fax: 770-446-6977 | |
Kara Wickman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4319 Allenhurst Dr, Peachtree Corners, GA 30092 Phone: 850-766-3462 | |
Mrs. Dayan Carla Bookman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6624 Jimmy Carter Blvd Ste A, Peachtree Corners, GA 30071 Phone: 404-900-5450 |