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Individual

MR. CARLTON D HAGGARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
4015 S COBB DR SE, STE 4, SMYRNA, GA 30080-6315
(770) 435-2931
(770) 435-2942
Mailing address
4015 S COBB DR SE, STE 4, SMYRNA, GA 30080-6315
(770) 435-2931
(770) 435-2942

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001456
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000697331C
GA
01
085079
MANAGED HEALTH NETWORK
GA
01
087343
VALUE OPTIONS
GA
01
1015098
CIGNA BEHAVIORAL HEALTH
GA
01
148495000
MAGELLAN
GA
01
178135
MENTAL HEALTH NETWORK
GA
01
196693
COMPSYCH
GA
01
298302
CCN
GA
05
300033702A
GA
01
388692
AMERIHEALTH ADMINISTRATOR
GA
01
52426630-003
BLUE CROSS BLUE SHIELD
GA
01
62-04486
UNITED BEHAVIORAL HEALTH
GA
01
843297
FIRST HEALTH
GA
01
PVPB63279
AMERICAN PSYCH SYSTEMS
GA
Enumeration date
05/31/2005
Last updated
07/09/2007
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