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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY STACK, LCSW

Active Sole Proprietor

MARY STACK, LCSW is a Clinical Social Worker healthcare provider located in PEACHTREE CORNERS, Georgia. NPI 1144757659 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PEACHTREE CORNERS, GA

Registration Details

NPI Number
1144757659
Provider Type
Individual
Gender
Female
NPI Issued
May 15, 2017 (9.2297121051343 yrs)
Last Updated
May 15, 2017
License
CSW004583
Sole Proprietor
Yes

Practice Information

Address
6624 JIMMY CARTER BLVD STE A
PEACHTREE CORNERS, GA, 300711727
Browse GA providers · Browse ZIP 30071
Phone
7707430004
Fax
4049005453
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PEACHTREE CORNERS, GA

Name Credential NPI
TARA ANNE COPPOLA LCSW 1952409294
AMY E WHITAKER LCSW 1275773426
MRS. DAYAN CARLA BOOKMAN 1578872867
MR. OTIS CHANDLER LCSW 1215212642
HYUNSU SHIN 1477809101
KARES CLARKE 1437550910
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.