Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | MSW008250 | GA |
NPI | 1003395781 |
---|---|
Provider Name | Lindsey Alice Chartier |
First Address | Atlanta, GA 30328-1606 |
Second Address | Atlanta, GA 30328-1606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2018 |
Last Update Date | 13/08/2018 |