Otis Chandler, LCSW
Social Worker, Clinical in Peachtree Corners, GA. Individual provider (NPI-1).
NPI number1215212642
StatusActive
Last updated in NPPESJan 22, 2017
Details
- NPI
- 1215212642
- Entity type
- Individual (NPI-1)
- Name
- Mr. Otis Chandler
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2011
- Last updated
- Jan 22, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW005989 | GA | Yes |
| 104100000X | Social Worker | 17210 | MD |
Practice location
5960 Crooked Creek RdSuite 140-F
Peachtree Corners, GA 30092-6219
Phone 404-664-4517
Mailing address
2765 Hidden Creek DrLoganville, GA 30052-7595
Phone 404-664-4517
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All 24 Clinical Social Worker providers in Peachtree Corners · All 535 providers in Peachtree Corners
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