Organization
CONNECTION HAVEN THERAPY, LLC
Active
Other names
Small World Enrichment, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRE ELENA HUDSON LCSW (CLINICAL SOCIAL WORKER)
(706) 310-5153
Entity
Organization
Contact information
Practice address
3839 MARTINEZ BLVD STE 2, MARTINEZ, GA 30907-2666
(706) 310-5153
Mailing address
2032 HATTON CT, AUGUSTA, GA 30909-9834
(404) 429-1113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
05/16/2024
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