Individual
SHIEEDAH UNIQUE POWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5682 PALAZZO WAY STE 103, DOUGLASVILLE, GA 30134-2500
(770) 577-1200
Mailing address
2546 CAPELLA CIR SW, ATLANTA, GA 30331-3873
(404) 547-3447
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005128
GA
Other
Enumeration date
08/21/2018
Last updated
06/05/2019
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