Individual
SHARISKE D THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
432 US HIGHWAY 80 W, POOLER, GA 31322-2510
(912) 349-2969
(912) 349-2983
Mailing address
114 DEERWOOD CT, HINESVILLE, GA 31313-5307
(912) 532-6876
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW006784
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MSW006784
STATE OF GEORGIA
GA
Enumeration date
04/12/2018
Last updated
04/12/2018
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