Individual
MAYRA DAMIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
27 CREEKSIDE DR, TIFTON, GA 31793-6463
(850) 509-9237
Mailing address
27 CREEKSIDE DR, TIFTON, GA 31793-6463
(850) 509-9237
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006711
GA
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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