Nathan Macolly, LCSW, QS

NPI #1245841949 in Monticello, Florida

Provider Information

NPI Number
1245841949
Entity Type
Individual
Name
Nathan Macolly, LCSW, QS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW, QS
Enumeration Date
Aug 14, 2020
Last Updated
Aug 14, 2020

Practice Location

Address
205 N RHODES ST
State
Florida
ZIP Code
32344-2558
Phone
(865) 206-2899

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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