Individual
MISS OPAL HOPE MINOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1083 SIMONTON HILL CT, LAWRENCEVILLE, GA 30045-3531
(770) 375-0479
(678) 985-4228
Mailing address
1083 SIMONTON HILL CT, LAWRENCEVILLE, GA 30045-3531
(770) 375-0479
(678) 985-4228
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003893
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286447905A
—
GA
Enumeration date
01/22/2008
Last updated
11/12/2021
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