Individual
MR. BRENT DILLIN TEMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
9249 HIGHWAY 29 NORTH, ATHENS, GA 30601
(706) 788-0188
Mailing address
194 TIBBETTS ST, ATHENS, GA 30601-2352
(706) 372-9687
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MSW006037
GA
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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