Individual
SANDRA WESTMORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
413 GRAY FOX DR, CANTON, GA 30114-7167
(706) 263-6669
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004067
GA
Other
Enumeration date
08/12/2015
Last updated
08/12/2015
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