SHANISE WOOTEN

FAYETTEVILLE, GA
NPI1013691054
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: GA  011147)
Enumeration Date2023-06-12
Last Update Date2023-06-14
Business Address
SHANISE WOOTEN
135 BRADFORD SQ STE A
FAYETTEVILLE, GA 30215-1902
Phone number: 404-834-1001
Mailing Address
SHANISE WOOTEN
560 JAKE TRL
JONESBORO, GA 30238-8617
Phone number: 404-834-1001
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