QUINTEN G GRESHAM

STONE MOUNTAIN, GA
NPI1831324664
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW001114)
Enumeration Date2009-05-22
Last Update Date2009-05-22
Business Address
Mr. QUINTEN G GRESHAM LCSW
5044 GOLFBROOK DR
STONE MOUNTAIN, GA 30088-2810
Phone number: 770-469-7297
Mailing Address
Mr. QUINTEN G GRESHAM LCSW
5044 GOLFBROOK DR
STONE MOUNTAIN, GA 30088-2810
Phone number: 770-469-7297