Individual
ELIZABETH HARMAN MAULDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
11503 BIG CANOE, BIG CANOE, GA 30143-5113
(404) 281-1867
(706) 579-2593
Mailing address
11503 BIG CANOE, BIG CANOE, GA 30143-5113
(404) 281-1867
(706) 579-2593
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000193
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
62-46919
PROV # UNITED HEALTHCARE
—
Enumeration date
10/17/2006
Last updated
07/09/2007
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