Individual
STEPHANIE HEMINGWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
784 KNOX RD, HARLEM, GA 30814-4527
(281) 701-7776
Mailing address
784 KNOX RD, HARLEM, GA 30814-4527
(281) 701-7776
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
GA
104100000X
Social Worker
—
SC
104100000X
Social Worker
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/13/2021
Last updated
10/13/2021
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