Individual
MS. HEATHER RACHEL NELSON-ODODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
13 N BROAD ST, SUITE 2-B, WINDER, GA 30680-1972
(770) 868-8737
Mailing address
703 BASKINS CIR, WINDER, GA 30680-3582
(770) 868-8737
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003407
GA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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