MATTHEW DEAN WHITIS

FORT MOORE, GA
NPI1245509827
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy104100000X Social Worker
(Licence: SC  9810)
Enumeration Date2011-12-28
Last Update Date2023-09-21
Business Address
MATTHEW DEAN WHITIS LCSW, MAC
7970 MARTIN LOOP BLDG 9204
FORT MOORE, GA 31905-5623
Phone number: 706-545-5244
Mailing Address
MATTHEW DEAN WHITIS LCSW, MAC
2711 COLONIAL DR
COLUMBIA, SC 29203-6818
Phone number: 803-726-9334