Individual
CHRISTINE B DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
83 ATHENS ST, JEFFERSON, GA 30549-1401
(706) 387-0573
(706) 387-0573
Mailing address
83 ATHENS ST, JEFFERSON, GA 30549-1401
(706) 387-0573
(706) 387-0573
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4024
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
817420986A
—
GA
Enumeration date
09/05/2008
Last updated
08/21/2014
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