Individual
HEATHER SHIVERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 LIVE OAK DR, LEESBURG, GA 31763-5883
(229) 869-2262
Mailing address
104 LIVE OAK DR, LEESBURG, GA 31763-5883
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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