Individual
SENTORIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1691 MERIWEATHER DR STE 109, WATKINSVILLE, GA 30677-7787
(706) 883-5300
Mailing address
956 GRAHAM CAMPBELL LN, STATHAM, GA 30666-1896
(706) 410-0616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW012403
GA
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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