Wanda Devaughn, Lcsw, Pc in Marietta - Clinical
Wanda Devaughn, Lcsw, Pc - NPI 1023264827
Wanda Devaughn, Lcsw, Pc is a Clinical in Marietta, Georgia. Wanda Devaughn, Lcsw, Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Wanda Devaughn, Lcsw, Pc is 1023264827. The last update date is 2008-08-12.
Wanda Devaughn, Lcsw, Pc's current location address is 317 Alexander St Se, Marietta, Georgia. You can contact this provider via phone number 7704254488 and fax number 7704258862. The mailing address for Wanda Devaughn, Lcsw, Pc is 317 Alexander St Se, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Wanda Devaughn, Lcsw, Pc |
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Address | 317 Alexander St Se, Marietta, Georgia |
Phone Number | 7704254488 |
Fax Number | 7704258862 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Devaughn Wanda |
Credentials | MSW, LCSW |
Telephone Number | 7704254488 |
NPI Number Detail
NPI Number | 1023264827 |
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Provider Enumeration Date | 2008-08-12 |
Last Updated Date | 2008-08-12 |
Provider Mailing Address Detail
Address | 317 Alexander St Se |
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City | Marietta |
State | Georgia (GA) |
Post Code | 300602077 |
Phone Number | 7704254488 |
Fax Number | 7704258862 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | CSW000605 |
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique identifier code issued to Wanda Devaughn, Lcsw, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Wanda Devaughn, Lcsw, Pc has been assigned the NPI (National Provider Identifier) 1023264827. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Wanda Devaughn, Lcsw, Pc's facilities are situated?
The facilities of Wanda Devaughn, Lcsw, Pc are physically located at the following address: 317 Alexander St Se, Marietta, GA, 300602077.
What is Wanda Devaughn, Lcsw, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Wanda Devaughn, Lcsw, Pc's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did Wanda Devaughn, Lcsw, Pc receive its 1023264827 assignment?
The Wanda Devaughn, Lcsw, Pc was assigned its 1023264827 on 2008-08-12, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Wanda Devaughn, Lcsw, Pc most recently updated or revised?
The details related to Wanda Devaughn, Lcsw, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-08-12.
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