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Individual

MOLLY WILLIAMSTON VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1551 JENNINGS MILL RD UNIT 3000B, WATKINSVILLE, GA 30677-7280
(706) 389-4051
Mailing address
1551 JENNINGS MILL RD UNIT 3000B, WATKINSVILLE, GA 30677-7280
(706) 389-4051

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW00772
GA
1041C0700X
Clinical Social Worker
Primary
CSW007772
GA

Other

Enumeration date
10/13/2021
Last updated
10/14/2021
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