Individual
FURMA SHAUNTEL BEGLEY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4210 COLUMBIA RD, STE 13C, MARTINEZ, GA 30907-0445
(706) 833-9378
(706) 522-9104
Mailing address
4210 COLUMBIA RD, STE 13C, MARTINEZ, GA 30907-0445
(706) 833-9378
(706) 522-9104
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004665
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003164181A
—
GA
Enumeration date
10/10/2012
Last updated
08/10/2016
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