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1245509827
MATTHEW DEAN WHITIS
FORT MOORE, GA
NPI
1245509827
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: SC 9810)
Enumeration Date
2011-12-28
Last Update Date
2024-10-17
Business Address
MATTHEW DEAN WHITIS LCSW, MAC
6600 VAN AALST BLVD BLDG 9250
FORT MOORE, GA 31905-2102
Phone number: 706-545-5244
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Mailing Address
MATTHEW DEAN WHITIS LCSW, MAC
5001 DONNA SUE DR
COLUMBUS, GA 31907-1789
Phone number: 614-286-4285
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