Individual
ANNA STORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 BRAY STREET, ATHENS, GA 30601-2244
(706) 612-6995
Mailing address
590 W CLOVERHURST AVE, ATHENS, GA 30606-4216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW008975
GA
Other
Enumeration date
05/13/2020
Last updated
05/13/2020
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