Individual
TONI BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
155 STACIA DR, COVINGTON, GA 30016-4764
(678) 392-0104
Mailing address
155 STACIA DR, COVINGTON, GA 30016-4764
(678) 392-0104
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW012141
GA
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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