Doctor Name: | DELICE S ECHOLS |
NPI Number: | 1063788214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | CSW004488 |
Business Practice Address: | 3912 Cedar Cir Tucker, GA - 300847339 |
Business Phone Number: | 7704149742 |
Business Fax Number: | 7704148296 |
Mailing Address: | 5521 Village Trce, UNION CITY |
State: | GA |
Postal Code: | 302915154 |
Phone Number: | 3149541633 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2012 |
NPI Last Update Date: | 03/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW004488 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |