Individual
PANYA RENEE NASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
670 ESCALADE DR, COLLEGE PARK, GA 30349-2508
(706) 536-9523
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW003736
GA
1041C0700X
Clinical Social Worker
Primary
CSW003917
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251S0000X
—
GA
Enumeration date
06/18/2007
Last updated
10/18/2010
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