Individual
MS. ANITA DENISE DIXON-THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4264 DEFOORS FARM TRL, POWDER SPRINGS, GA 30127-4067
(678) 384-1992
(678) 384-1993
Mailing address
4264 DEFOORS FARM TRL, POWDER SPRINGS, GA 30127-4067
(678) 384-1992
(678) 384-1993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002102
GA
Other
Enumeration date
03/08/2011
Last updated
03/08/2011
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