Individual
LEANNE SHUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 BROOKHAVEN AVE NE UNIT 1, BROOKHAVEN, GA 30319-3253
(770) 880-3225
Mailing address
305 BROOKHAVEN AVE NE UNIT 1, BROOKHAVEN, GA 30319-3253
(770) 880-3225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW009481
GA
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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