Individual
ISOM EUGENE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3499 S COBB DR SE STE 209, SMYRNA, GA 30080-4170
(678) 392-8173
Mailing address
3499 S COBB DR SE STE 209, SMYRNA, GA 30080-4170
(678) 392-8173
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW0006575
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW006575
STATE OF GEORGIA
GA
Enumeration date
09/24/2018
Last updated
11/10/2025
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