Individual
ANDREW LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1206 ANTHONY RD, AUGUSTA, GA 30904-4402
(404) 550-0530
Mailing address
1206 ANTHONY RD, AUGUSTA, GA 30904-4402
(404) 550-0530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW007389
GA
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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