Individual
SAMIA DENISE COAXUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
3915 BROOKHOLLOW DR, DOUGLASVILLE, GA 30135-2099
(917) 304-0489
Mailing address
3915 BROOKHOLLOW DR, DOUGLASVILLE, GA 30135-2099
(917) 304-0489
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
GA
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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