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Individual

ANITA S WHITE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
981 CLEVELAND AVE, ATLANTA, GA 30344-6717
(404) 552-6764
Mailing address
1415 HIGHWAY 85 N STE 310-395, FAYETTEVILLE, GA 30214-7738
(404) 552-6764

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006917
GA

Other

Enumeration date
10/18/2020
Last updated
10/18/2020
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