Individual
MS. PATRICIA WHATLEY SHOWELLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
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
1041C0700X
Clinical Social Worker
Primary
CSW000998
GA
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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