Individual
SHAWNTASIA DAUGHTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
35 TAYLOR LN, COVINGTON, GA 30014-2545
(240) 305-8348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009418
GA
Other
Enumeration date
02/03/2025
Last updated
02/25/2025
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