Courtney Faith Farley-White, LCSW
Social Worker, Clinical in McDonough, GA. Individual provider (NPI-1).
NPI number1417595992
StatusActive
Last updated in NPPESDec 16, 2019
Details
- NPI
- 1417595992
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Courtney Faith Farley-White
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 16, 2019
- Certification date
- Dec 16, 2019
- Last updated
- Dec 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CSW003450 | GA | Yes |
Practice location
265 Cobblestone LnMcDonough, GA 30252-6259
Phone 404-630-0226
Mailing address
265 Cobblestone LnMcDonough, GA 30252-6259
Phone 404-630-0226
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