Individual
MS. STEPHANIE LEIGH BISHOP-COLLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
180 WATER OAK DR, CEDARTOWN, GA 30125-2095
(770) 748-2225
(770) 749-0939
Mailing address
1401 APPLEWOOD DR, SUITE 1, DALTON, GA 30720-2699
(706) 270-5002
(706) 270-5111
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002537
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW002537
LICENSE
GA
Enumeration date
10/11/2006
Last updated
08/26/2011
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