Individual
TANESHA JEANETTA WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1701 HARDEE AVE SW BLDG 128, ATLANTA, GA 30310-5110
(404) 321-6111
Mailing address
5474 OAKLEY INDUSTRIAL BLVD APT 633, FAIRBURN, GA 30213-4471
(334) 429-1125
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008053
GA
Other
Enumeration date
11/29/2017
Last updated
03/17/2018
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