Individual
MRS. SHEILA DENISE FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
125 MACALESTER DR, NEWNAN, GA 30265-6277
(601) 201-3868
Mailing address
125 MACALESTER DR, NEWNAN, GA 30265-6277
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008731
GA
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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