Individual
CATHERINE V UPSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10375 FORD AVE STE 3, RICHMOND HILL, GA 31324-9037
(912) 312-4256
Mailing address
10375 FORD AVE STE 3, RICHMOND HILL, GA 31324-9037
(912) 312-4256
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
085086
NY
1041C0700X
Clinical Social Worker
083076
NY
1041C0700X
Clinical Social Worker
Primary
CSW007256
GA
Other
Enumeration date
10/24/2011
Last updated
07/10/2024
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