Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | MSW003313 | GA |
NPI | 1003120189 |
---|---|
Provider Name | Mrs. Hallie Danielle Cheek |
First Address | Athens, GA 30601-6352 |
Second Address | Athens, GA 30601-6352 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2010 |
Last Update Date | 02/08/2010 |