Individual
MRS. CHERYL AMYLE JOHNSON RANSAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W., C.E.A.P.
Contact information
Practice address
2175 NORTHLAKE PKWY, SUITE 130, BUILDING 4, TUCKER, GA 30084-4163
(404) 794-7101
Mailing address
501 BREAKWATER TER, STONE MOUNTAIN, GA 30087-5307
(404) 794-7101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000783
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039670
EMPLOYEE ASSISTANCE CERTIFICATION COMMISSION
GA
01
—
CSW000783
GEORGIA COMPOSITE BOARD OF PC, SW, AND MFT
GA
Enumeration date
06/07/2011
Last updated
06/07/2011
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