Individual
MS. SHANITA SIVELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
629 WAYLAND CT, FAIRBURN, GA 30213-6535
(773) 668-3367
Mailing address
629 WAYLAND CT, FAIRBURN, GA 30213-6535
(773) 668-3367
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
14112
KS
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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