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1013691054
SHANISE WOOTEN
FAYETTEVILLE, GA
NPI
1013691054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: GA 011147)
Enumeration Date
2023-06-12
Last Update Date
2023-06-14
Business Address
SHANISE WOOTEN
135 BRADFORD SQ STE A
FAYETTEVILLE, GA 30215-1902
Phone number: 404-834-1001
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Mailing Address
SHANISE WOOTEN
560 JAKE TRL
JONESBORO, GA 30238-8617
Phone number: 404-834-1001
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