Individual
RAESSHA LATRICE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
111 PARADISE DR, SAVANNAH, GA 31406-5733
(803) 468-2773
Mailing address
111 PARADISE DR, SAVANNAH, GA 31406-5733
(803) 468-2773
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008397
GA
Other
Enumeration date
01/05/2023
Last updated
03/03/2023
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