Individual
MRS. SHARIKA D GARDNER SPATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3753 OKEFENOKEE RDG, LOGANVILLE, GA 30052-3382
(404) 216-2808
Mailing address
3753 OKEFENOKEE RDG, LOGANVILLE, GA 30052-3382
(404) 216-2808
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
115518
IA
1041C0700X
Clinical Social Worker
34011858A
IN
1041C0700X
Clinical Social Worker
Primary
CSW007825
GA
1041C0700X
Clinical Social Worker
LCSW-23281
AZ
Other
Enumeration date
03/19/2022
Last updated
03/04/2026
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