Individual
CAMILLE ELYSE SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(706) 201-8589
Mailing address
PO BOX 44, BOGART, GA 30622-0044
(706) 201-8589
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009103
GA
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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