Individual
MARCIA CAPSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
122 GORDON COMMERCIAL DR, SUITE D, LAGRANGE, GA 30240-5754
(706) 845-4045
(706) 845-4312
Mailing address
122 GORDON COMMERCIAL DR, SUITE D, LAGRANGE, GA 30240-5754
(706) 845-4045
(706) 845-4312
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001489
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW001489
LICENSE
GA
Enumeration date
12/15/2006
Last updated
06/12/2008
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