Individual
SHANELLE LYNN HIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
878 ROCK ST NW, ATLANTA, GA 30314-3377
(678) 705-5318
Mailing address
7020 WINTERBROOK CT APT 93, ATLANTA, GA 30360-1849
(862) 215-5253
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
04/03/2019
Last updated
04/03/2019
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