Individual
SHARI LYN PATTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
9695
SC
1041S0200X
School Social Worker
Primary
9695
SC
Other
Enumeration date
11/05/2009
Last updated
06/10/2013
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