| Mia Wolfrey, Lcsw | |
|
4649 Liberty Square Dr Acworth GA 30101-4968 | |
| (470) 382-8420 | |
| Not Available |
| Full Name | Mia Wolfrey, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4649 Liberty Square Dr, Acworth, Georgia |
| Authorized Official Name and Position | Mia Malika Wolfrey (PRINCIPAL) |
| Authorized Official Contact | 4707720740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Wolfrey, Lcsw 4649 Liberty Square Dr Acworth GA 30101-4968 Ph: (470) 382-8420 | Mia Wolfrey, Lcsw 4649 Liberty Square Dr Acworth GA 30101-4968 Ph: (470) 382-8420 |
| NPI Number | 1356921910 |
|---|---|
| Provider Enumeration Date | 04/08/2021 |
| Last Update Date | 04/08/2021 |
| Certification Date | 04/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356921910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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