Individual
ANDREA DELEO WHITTAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
330 RESEARCH DR STE 250, ATHENS, GA 30605-2747
(706) 224-2402
Mailing address
608 BRAKEMAN CIR, JEFFERSON, GA 30549-3252
(706) 224-2402
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006676
GA
Other
Enumeration date
11/21/2019
Last updated
11/21/2019
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