Timothy John Shelton LMSW

NPI 1215362520 - Social Worker - 104100000X

NPI Details
NPI 1215362520
Gender Male
Enumeration Date 09/05/2013
Last Updated 09/05/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
175 GWINNETT DR
LAWRENCEVILLE GA, 30046-8444, US
Phone (678) 209-2394
Fax (678) 212-6350
Business Location
1305 CALIBRE WOODS DR NE
ATLANTA GA, 30329-3966, US
Phone (443) 629-5648
Fax
Toxanomy
Taxonomy Code 104100000X
License State Georgia
License Number MSW006148
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According to our database, Mr. Timothy John Shelton LMSW NPI is 1215362520, taxonomy code is 104100000X and license number is MSW006148, license state is located at Georgia. Timothy John Shelton LMSW physically located at 175 Gwinnett Dr, Lawrenceville GA, 30046-8444. NPI Number Timothy John Shelton LMSW has the Individual type.

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1215362520 NPI number is provided on an as is basis without warranty of any kind. 1215362520 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy John Shelton LMSW are for informational purposes only.