Organization
LINDA CLOFINE, LCSW INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA CLOFINE LCSW (THERAPIST)
(706) 353-0709
Entity
Organization
Contact information
Practice address
598 S MILLEDGE AVE, STE. 5, ATHENS, GA 30605-1262
(706) 353-0709
(706) 549-3167
Mailing address
598 S MILLEDGE AVE, STE. 5, ATHENS, GA 30605-1262
(706) 353-0709
(706) 549-3167
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
2742
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00979723E
—
GA
Enumeration date
07/23/2012
Last updated
07/23/2012
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