Individual
MRS. GRACHELLE ALYCE SHERBURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5241 CHERRY HILL LN, POWDER SPRINGS, GA 30127-4739
(770) 549-6997
Mailing address
5241 CHERRY HILL LN, POWDER SPRINGS, GA 30127-4739
(770) 549-6997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004808
GA
Other
Enumeration date
09/23/2008
Last updated
02/08/2013
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