Vanessa Marie Shoop LCSW

NPI 1740342344 - Social Worker - 104100000X

NPI Details
NPI 1740342344
Gender Female
Enumeration Date 12/14/2006
Last Updated 09/10/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
4549 TIFFANY LN
LOGANVILLE GA, 30052-3590, US
Phone (678) 910-8772
Fax
Business Location
4549 TIFFANY LN
LOGANVILLE GA, 30052-3590, US
Phone (678) 910-8772
Fax
Toxanomy
Taxonomy Code 104100000X
License State Georgia
License Number MSW004019
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According to our database, Mrs. Vanessa Marie Shoop LCSW NPI is 1740342344, taxonomy code is 104100000X and license number is MSW004019, license state is located at Georgia. Vanessa Marie Shoop LCSW physically located at 4549 Tiffany Ln, Loganville GA, 30052-3590. NPI Number Vanessa Marie Shoop LCSW has the Individual type.

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1740342344 NPI number is provided on an as is basis without warranty of any kind. 1740342344 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Marie Shoop LCSW are for informational purposes only.