Individual
MS. ANITA M YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
23 MDG 3278 MITCHELL BLVD, MOODY AFB, GA 31699-0001
(229) 257-2778
Mailing address
23 MDG 3278 MITCHELL BLVD, MOODY AFB, GA 31699-0001
(229) 257-2778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004923
VA
Other
Enumeration date
02/21/2007
Last updated
06/26/2025
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