Individual
MRS. THELMA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 KING RD, RIVERDALE, GA 30274-2027
(404) 409-3888
(770) 991-7727
Mailing address
8060 WEBB RD UNIT 741732, RIVERDALE, GA 30274-5426
(404) 409-3888
(770) 991-7727
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW006347
GA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143435A
—
GA
Enumeration date
02/05/2014
Last updated
06/23/2015
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