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Organization

HELEN T WHITLEY, LCSW, INC.

Active
Other names
Helen T Whitley, LCSW
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HELEN T WHITLEY LCSW (OWNER)
(770) 517-3363
Entity
Organization

Contact information

Practice address
131 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189-8215
(770) 517-3363
(770) 517-3308
Mailing address
131 MIRRAMONT LAKE DR, WOODSTOCK, GA 30189-8215
(770) 517-3363
(770) 517-3308

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1093809220
INDIVIDUAL NPI
GA
Enumeration date
09/24/2015
Last updated
09/24/2015
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