Individual
GEORGETTE LACOSTA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1826 VETERANS BLVD, DUBLIN, GA 31021-3620
(478) 272-1210
(478) 274-5625
Mailing address
12300 APACHE AVE APT 1019, SAVANNAH, GA 31419-2326
(843) 592-0860
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006726
GA
1041C0700X
Clinical Social Worker
13428
SC
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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