Individual
CHANIQUA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4021 MCGINNIS FERRY RD APT 617, SUWANEE, GA 30024-8403
(770) 543-9942
Mailing address
4021 MCGINNIS FERRY RD APT 617, SUWANEE, GA 30024-8403
(770) 543-9942
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005466
GA
Other
Enumeration date
11/14/2021
Last updated
11/14/2021
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