Mary Stack, LCSW
Mary Stack, LCSW is a Clinical Social Worker in Peachtree Corners, Georgia. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- LCSW — Licensed Clinical Social Worker
- A social worker licensed to diagnose and treat mental health conditions independently.
Practice location Address checks out
6624 Jimmy Carter Blvd Ste APeachtree Corners, GA 30071-1727
Phone: (770) 743-0004
Fax: (404) 900-5453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence CSW004583 |
|---|
Record details
| NPI number | 1144757659 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCSW |
| Sole proprietor | Yes |
| NPI enumerated | May 15, 2017 |
| Last updated in NPPES | May 15, 2017 |
| Mailing address | 3497 Tulip Tree Ln, Duluth, GA 30096-5332 |
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Amy E Whitaker, LCSW
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Rachelle Wicker, LCSW
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Kara Wickman, LCSW
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