Most Relevant Information
Provider Data
| NPI Number: | 1003502428 |
| Provider Name: | MARILYN ASHLEIGH TRUDEAU-WALLS LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | MSW009533 |
Most Important Dates
| Enumeration Date: | 04/18/2023 |
| Last Updated: | 04/18/2023 |
Provider Practice Location
2727 PACES FERRY RD SE STE 260
ATLANTA
GA
303394053
Practice Location Phone/Fax
| Phone: | 6787580616 |
| Fax: |
Provider Mailing Location
1103 PARK BRG
ACWORTH
GA
301017212
Provider Mailing Phone/Fax
| Phone: | 6785758384 |
| Fax: |