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Individual

MRS. AISHA RESHA MITCHELL WASHINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.C.S.W.

Contact information

Practice address
19 GREENCOVE CT, NEWNAN, GA 30265-3391
(334) 782-2743
Mailing address
90F GLENDA TRCE, # 306, NEWNAN, GA 30265-3858
(762) 499-7823

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2451C
AL
1041C0700X
Clinical Social Worker
CSW004677
GA

Other

Enumeration date
08/16/2012
Last updated
07/21/2022
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