Individual
TEJUANDA SHANTA WHITEHEAD SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPA,BSW
Contact information
Practice address
217 TREMONT AVE, ALBANY, GA 31701-5707
(229) 364-9026
Mailing address
217 TREMONT AVE, ALBANY, GA 31701-5707
(229) 364-9026
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
053681248
GA
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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