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Individual

CALANDRA BURKE YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
274 CEDAR ST, SOCIAL CIRCLE, GA 30025-3074
(478) 251-3409
Mailing address
274 CEDAR ST, SOCIAL CIRCLE, GA 30025-3074
(478) 251-3409

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008824
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14975808
CAQH
GA
01
MSW008824
GEORGIA BOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS, AND MARRIAGE &FAMILY
GA
Enumeration date
10/02/2020
Last updated
10/12/2020
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