Individual
VANESSA CLIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-2504
(229) 931-2654
Mailing address
415 N JACKSON ST, AMERICUS, GA 31709-3015
(229) 931-2504
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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