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1336814342
SHANE SUMNER
WATKINSVILLE, GA
NPI
1336814342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW006484)
Enumeration Date
2021-08-11
Last Update Date
2021-08-11
Business Address
SHANE SUMNER LCSW
1091 MCREES MILL RD
WATKINSVILLE, GA 30677-2960
Phone number: 706-765-7377
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Mailing Address
SHANE SUMNER LCSW
1091 MCREES MILL RD
WATKINSVILLE, GA 30677-2960
Phone number: 706-765-7377
Copy
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