Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | MSW005438 | GA |
NPI | 1003220005 |
---|---|
Provider Name | Lindsey Parramore Oliver |
First Address | Gainesville, GA 30501-3402 |
Second Address | Gainesville, GA 30501-3402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2014 |
Last Update Date | 30/09/2014 |