Individual
MS. GLORIA T BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
254 41ST ST BLDG 40709, FORT GORDON, GA 30905-5918
(706) 787-3035
Mailing address
1220 WINSTON DR, DECATUR, GA 30032-2365
(404) 288-8745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000914
GA
Other
Enumeration date
05/10/2007
Last updated
10/03/2013
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