NPI age
14 years
Enumerated 2012-02-22
Across 5654 active social worker providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | CSW004673 | SECRETARY OF STATE, GEORGIA COMPOSITE BOARD |
| 01 (GA) | 112681 | ICADC INTERNATIONALLY CERTIFIED ALCOHOL AND DRUG COUNSELOR |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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