Individual
DAVENA ANN BAXTER-BAGGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1008 N 3RD AVE, CHATSWORTH, GA 30705-2118
(706) 517-2273
(706) 517-2469
Mailing address
165 BLUE RIDGE OVERLOOK, BLUE RIDGE, GA 30513-4431
(706) 946-5607
(706) 374-7628
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004762
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003247877
—
GA
Enumeration date
10/20/2020
Last updated
05/19/2023
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