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MS. DIANE CECELIA ALLISON LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1992816243

Individual Registrant:
MS. DIANE CECELIA ALLISON LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
274 BIG A RD  TOCCOA, GA 30577-6002 US
Tel: 770-219-9245  Fax: 706-212-7947

Contact information for business:
PO BOX 742616  ATLANTA, GA 30374-2616 US
Tel: 770-219-8420  Fax: --

Registration Information:
NPI: 1992816243
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
GA006072

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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