Individual
ELIZABETH JENNINGS BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
840 HAWTHORNE AVE # B, ATHENS, GA 30606-2116
(706) 227-2334
(706) 227-2338
Mailing address
1435 OGLETHORPE AVE, ATHENS, GA 30606-2135
(706) 549-7755
(706) 549-0428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003495
GA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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