Individual
LINDSEY BUSTAMANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
383 GENERAL JACKSON DR, JEFFERSON, GA 30549-2909
(706) 542-9700
(706) 227-7249
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-9700
(706) 227-7249
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004839
GA
Other
Enumeration date
02/01/2010
Last updated
02/01/2010
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