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1265916464
ISOM EUGENE WHITE
ATHENS, GA
NPI
1265916464
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW0006575)
Enumeration Date
2018-09-24
Last Update Date
2019-04-24
Business Address
ISOM EUGENE WHITE LCSW
1 HUNTINGTON RD STE 703
ATHENS, GA 30606-7214
Phone number: 706-425-8900
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Mailing Address
ISOM EUGENE WHITE LCSW
PO BOX 813654
SMYRNA, GA 30081-8654
Phone number: 706-425-8900
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