Individual
DR. SANDRA LOUISE SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, PHD
Contact information
Practice address
1938 PEACHTREE RD NW, 107, ATLANTA, GA 30309-1267
(678) 547-6789
(678) 547-6785
Mailing address
1938 PEACHTREE RD NW, 107, ATLANTA, GA 30309-1267
(678) 547-6789
(678) 547-6785
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000703216A
—
GA
01
—
800009787
RR MEDICARE
GA
Enumeration date
10/25/2006
Last updated
10/30/2014
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