Most Relevant Information
Provider Data
| NPI Number: | 1003074329 |
| Provider Name: | CLIFTON HATCHERSON LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | PRO024609-1 |
Most Important Dates
| Enumeration Date: | 05/23/2008 |
| Last Updated: | 05/23/2008 |
Provider Practice Location
445 WINN WAY
5247 RUNNING DOE DRIVE
DECATUR
GA
300301707
Practice Location Phone/Fax
| Phone: | 4042898445 |
| Fax: | 4042988288 |
Provider Mailing Location
445 WINN WAY
5247 RUNNING DOE DRIVE
DECATUR
GA
300301707
Provider Mailing Phone/Fax
| Phone: | 4042898445 |
| Fax: | 4042988288 |