MEDICARE: MS. L. CAROL FINKELSTEIN CLINICAL SOCIAL WORK

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
1	1041C0700X	Clinical Social Worker	000750	GA

General Provider Information

NPI Number	:	1891719787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. L. CAROL FINKELSTEIN CLINICAL SOCIAL WORK

Provider Business Mailing Address
First Line	:	5775 PEACHTREE DUNWOODY RD., NE
Second Line	:	SUITE C-200
City	:	ATLANTA
State	:	GA
Zip	:	30342-1509
Country	:	US
Telephone Number	:	404-847-9004
Fax Number	:	404-256-2795

Provider Business Practice Location Address
First Line	:	5775 PEACHTREE DUNWOODY RD., NE
Second Line	:	SUITE C-200
City	:	ATLANTA
State	:	GA
Zip	:	30342-1509
Country	:	US
Telephone Number	:	404-847-9004
Fax Number	:	404-256-2795

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	06/30/2011

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