Individual
JANICE R SHUFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
211 PERIMETER CENTER PKWY NE STE 910, DUNWOODY, GA 30346-1304
(770) 908-3993
(770) 730-8721
Mailing address
1684 DURRETT WAY, ATLANTA, GA 30338-2912
(770) 908-3993
(770) 730-8721
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2597
GA
1041C0700X
Clinical Social Worker
Primary
2597
GA
106H00000X
Marriage & Family Therapist
CSW002597
GA
Other
Enumeration date
09/22/2006
Last updated
09/18/2012
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