Individual
THALIA BANDO ESCOBEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
330 RESEARCH DR STE 210, ATHENS, GA 30605-2760
(706) 705-2881
Mailing address
3355 GEORGE BUSBEE PKWY NW APT 128, KENNESAW, GA 30144-6849
(863) 243-3792
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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