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Individual
MRS. GEORGIA ANNE WIMBERLY
Active
Individual
MRS. GEORGIA ANNE WIMBERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
061784-1
NY
1041C0700X
Clinical Social Worker
Primary
081916
NY
1041S0200X
School Social Worker
162135071
NY
Other
Enumeration date
06/10/2010
Last updated
06/06/2014
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