Individual
MRS. ROMA NICHOL WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4402 BRANDON CT NE, MARIETTA, GA 30066-2052
(404) 956-8175
Mailing address
4402 BRANDON CT NE, MARIETTA, GA 30066-2052
(404) 956-8175
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW009742
GA
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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