Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | CSW005417 | GA |
NPI | 1003209644 |
---|---|
Provider Name | Mrs. Julia Narciss Reed |
First Address | Decatur, GA 30030-3302 |
Second Address | Decatur, GA 30030-3302 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2015 |
Last Update Date | 06/03/2015 |