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NPI Code Detail

MEDICARE: AMY L GARNETT LCSW

MEDICARE: AMY L GARNETT LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker00149GA

General Provider Information

NPI Number : 1821167271
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY L GARNETT LCSW
Provider Business Mailing Address
First Line : 6111 PEACHTREE DUNWOODY RD NE
Second Line : SUITE F 103
City : ATLANTA
State : GA
Zip : 30328-6049
Country : US
Telephone Number : 770-395-0059
Fax Number : 770-395-1243
Provider Business Practice Location Address
First Line : 6111 PEACHTREE DUNWOODY RD NE
Second Line : SUITE F 103
City : ATLANTA
State : GA
Zip : 30328-6049
Country : US
Telephone Number : 770-395-0059
Fax Number : 770-395-1243
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 07/08/2007

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Directions to “ AMY L GARNETT LCSW” Practice Location

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