Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | CSW0001341 | GA |
NPI | 1003045352 |
---|---|
Provider Name | Mrs. Sandra Patricia Pointer |
First Address | Newnan, GA 30265-1328 |
Second Address | Newnan, GA 30265-1328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2009 |
Last Update Date | 08/07/2009 |