Individual
SHAUGHN REYENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
301 GREEN ST NW STE 100D, GAINESVILLE, GA 30501-3361
(470) 508-9283
Mailing address
301 GREEN ST NW STE 100D, GAINESVILLE, GA 30501-3361
(470) 508-9283
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008527
GA
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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