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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANISE WOOTEN

Active Sole Proprietor

SHANISE WOOTEN is a Social Worker healthcare provider located in FAYETTEVILLE, Georgia. NPI 1013691054 is currently active in the NPPES registry. Verify at CMS.

Social Worker · FAYETTEVILLE, GA

Registration Details

NPI Number
1013691054
Provider Type
Individual
Gender
Female
NPI Issued
Jun 12, 2023 (3.1594277708123 yrs)
Last Updated
Jun 14, 2023
License
011147 (GA)
Sole Proprietor
Yes

Practice Information

Address
135 BRADFORD SQ STE A
FAYETTEVILLE, GA, 302151902
Browse GA providers · Browse ZIP 30215
Phone
4048341001
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in FAYETTEVILLE, GA

Name Credential NPI
ARLENE C HAWKINS 1922266725
KESHIA KIRTZ LMSW 1740635374
SANDRA JEAN-BAPTISTE 1346798378
ERICA BELL LMSW 1356825830
MRS. OPHELIA BATES 1801356399
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.