Individual
MRS. MONICA LYNNE SHIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1223 AUGUSTA WEST PKWY STE G, AUGUSTA, GA 30909-1807
(803) 761-2474
Mailing address
1223 AUGUSTA WEST PKWY STE G, AUGUSTA, GA 30909-1807
(803) 761-2474
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CSW008061
GA
1041C0700X
Clinical Social Worker
Primary
CSW008061
GA
1041C0700X
Clinical Social Worker
SW15669-CP
SC
1041C0700X
Clinical Social Worker
TPSW2320
FL
Other
Enumeration date
09/07/2019
Last updated
08/15/2023
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