Organization
ABIGAIL S. HOLBROOK, MSW, LCSW, LLC
Active
Organization
ABIGAIL S. HOLBROOK, MSW, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ABIGAIL SUSANNAH HOLBROOK LCSW (OWNER)
(706) 424-4814
Entity
Organization
Contact information
Practice address
1551 JENNINGS MILL RD, SUITE 3200 A, WATKINSVILLE, GA 30677-7244
(706) 424-4814
Mailing address
PO BOX 7742, ATHENS, GA 30604-7742
(706) 424-4814
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003391
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326154089
NPI INDIVIDUAL
GA
Enumeration date
06/17/2015
Last updated
08/19/2015
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