Most Relevant Information
Provider Data
| NPI Number: | 1003093030 |
| Provider Name: | OPAL HOPE MINOTT LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CSW003893 |
Most Important Dates
| Enumeration Date: | 01/22/2008 |
| Last Updated: | 11/12/2021 |
Provider Practice Location
1083 SIMONTON HILL CT
LAWRENCEVILLE
GA
300453531
Practice Location Phone/Fax
| Phone: | 7703750479 |
| Fax: | 6789854228 |
Provider Mailing Location
1083 SIMONTON HILL CT
LAWRENCEVILLE
GA
300453531
Provider Mailing Phone/Fax
| Phone: | 7703750479 |
| Fax: | 6789854228 |