Individual
SHA STANLEY WORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
327 DAHLONEGA ST STE B1902, CUMMING, GA 30040-8216
(678) 371-7357
Mailing address
6260 SUMMER CIR, DAWSONVILLE, GA 30534-8088
(678) 596-2939
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC009070
GA
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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