Individual
SHANAE STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
37 HUTCHINSON ST NE UNIT 402, ATLANTA, GA 30307-4604
(770) 241-7596
Mailing address
PO BOX 5256, ATLANTA, GA 31107-0256
(770) 241-7596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009280
GA
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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