Individual
SANDRA J WIMBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
212 HAMMERHAWK RD, GRIFFIN, GA 30223-1515
(404) 444-0615
Mailing address
PO BOX 822, GRIFFIN, GA 30224-0022
(404) 444-0615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005699
GA
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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