Individual
MS. MICHELLE LYNN CASTLEBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1435 OGLETHORPE AVE, ATHENS, GA 30606-2135
(706) 549-7755
(706) 549-0428
Mailing address
2650 FLAT ROCK RD, WATKINSVILLE, GA 30677-3122
(706) 619-1909
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
CSW004360
GA
1041C0700X
Clinical Social Worker
LCSW004360
GA
1041C0700X
Clinical Social Worker
Primary
LSCW004360
GA
Other
Enumeration date
12/01/2010
Last updated
12/03/2020
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