Individual
MRS. KIRSTEN TAMARA SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1289 GI MADDOX PKWY, CHATSWORTH, GA 30705-2069
(706) 971-3366
(706) 426-0949
Mailing address
419 FULLERS CHAPEL RD UNIT A, CHATSWORTH, GA 30705-7452
(706) 508-5707
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
1041C0700X
Clinical Social Worker
—
GA
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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