| Stanley M.e.allen Lcsw,llc | |
|
1770 Indian Trail Rd Suite 200 Norcross GA 30093-2645 | |
| (770) 923-9200 | |
| (770) 923-2556 |
| Full Name | Stanley M.e.allen Lcsw,llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1770 Indian Trail Rd, Norcross, Georgia |
| Authorized Official Name and Position | Stanley M.e. Allen (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7709239200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley M.e.allen Lcsw,llc 1770 Indian Trail Rd Suite 200 Norcross GA 30093-2645 Ph: (770) 923-9200 | Stanley M.e.allen Lcsw,llc 1770 Indian Trail Rd Suite 200 Norcross GA 30093-2645 Ph: (770) 923-9200 |
| NPI Number | 1619981925 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619981925 | NPI | - | NPPES |
| 032860193A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 707 (Georgia) | Primary |
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