Individual
MS. ABIGAIL SUSANNAH HOLBROOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1551 JENNINGS MILL RD, SUITE 3200 A, WATKINSVILLE, GA 30677-7244
(706) 424-4814
(706) 424-4814
Mailing address
PO BOX 7742, ATHENS, GA 30604-7742
(706) 424-4814
(706) 424-4814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1952782799
NPPES
GA
01
—
202I802093
PTAN
GA
Enumeration date
08/22/2006
Last updated
06/18/2015
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