Individual
HEATHER WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 W HOSPITAL RD, FORT EISENHOWER, GA 30905-5741
(706) 814-4766
Mailing address
300 W HOSPITAL RD, FT EISENHOWER, GA 30905-5741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C009351
NC
Other
Enumeration date
12/06/2012
Last updated
02/24/2025
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