Shaylee Olive, LICSW
Social Worker, Clinical in Fort Benning, GA. Individual provider (NPI-1).
NPI number1073973376
StatusActive
Last updated in NPPESAug 23, 2021
Details
- NPI
- 1073973376
- Entity type
- Individual (NPI-1)
- Name
- Shaylee Olive
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 29, 2016
- Certification date
- Aug 23, 2021
- Last updated
- Aug 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 247200000X | Technician, Other | – | – |
Practice location
6498 Way AveFort Benning, GA 31905-3771
Phone 706-545-7401
Mailing address
6498 Way AveFort Benning, GA 31905-3771
Phone 706-545-7401
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