SHANTEL M FORSTALL

FAYETTEVILLE, GA
NPI1326390196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: GA  CSW004681)
Enumeration Date2012-10-03
Last Update Date2013-01-28
Business Address
SHANTEL M FORSTALL LCSW
110 HABERSHAM DR
FAYETTEVILLE, GA 30214-1381
Phone number: 770-371-5076
Mailing Address
SHANTEL M FORSTALL LCSW
110 HABERSHAM DR
FAYETTEVILLE, GA 30214-1381
Phone number: 770-371-5076