STEPHEN R. FISHACK

STATESBORO, GA
NPI1144319237
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  1298)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
Mr. STEPHEN R. FISHACK M.S.W.
106 OAK ST STE A
STATESBORO, GA 30458-0988
Phone number: 912-678-3098
Mailing Address
Mr. STEPHEN R. FISHACK M.S.W.
PO BOX 373
STATESBORO, GA 30459-0373
Phone number: 912-678-3098
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