Individual
MR. JOSEPH WILLIAM WITHERSPOON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
977A TAYLOR ST SW, CONYERS, GA 30012-5357
(770) 918-6677
Mailing address
977A TAYLOR ST SW, CONYERS, GA 30012-5357
(770) 918-6677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW003115
GA
Other
Enumeration date
07/11/2011
Last updated
07/11/2011
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