Individual
TARITA SHADD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-1984
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-1984
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
MSW007566
GA
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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