Individual
MR. ROLAND A WITHERSPOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 823-3952
Mailing address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 823-3952
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
32941
TX
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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