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

MRS. STEPHANIE WILDER DAVIDSON, LCSW

Active Sole Proprietor

MRS. STEPHANIE WILDER DAVIDSON, LCSW is a Clinical Social Worker healthcare provider located in LEESBURG, Georgia. NPI 1417982190 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · LEESBURG, GA

Registration Details

NPI Number
1417982190
Provider Type
Individual
Gender
Female
NPI Issued
Jul 11, 2006 (20.075916012425 yrs)
Last Updated
Dec 1, 2008
License
003623 (GA)
Sole Proprietor
Yes

Practice Information

Address
133 WILLOW LAKE DR
LEESBURG, GA, 317635386
Browse GA providers · Browse ZIP 31763
Phone
2298868497
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in LEESBURG, GA

Name Credential NPI
MRS. AYESHA AQUEELAH THOMAS LCSW 1760054902
TABITHA SMITH MSW 1770318107
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.