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Individual

CHARLOTTE NASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
502 GLOUCESTER ST STE 204, BRUNSWICK, GA 31520-7092
(912) 580-9580
(912) 289-9389
Mailing address
513 GLOUCESTER ST, BRUNSWICK, GA 31520-7014
(912) 580-9580
(912) 289-9389

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006883
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1689110249
CARRIE LIGON
GA
Enumeration date
03/15/2017
Last updated
05/11/2023
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