Individual
CHARLOTTE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1102 SMITH AVE, THOMASVILLE, GA 31792-5739
(229) 225-5208
Mailing address
1102 SMITH AVE, THOMASVILLE, GA 31792-5739
(229) 225-5208
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004771
GA
1041C0700X
Clinical Social Worker
SW10844
FL
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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