Doctor Name: | CYNTHIA DICKSON SHARITT |
NPI Number: | 1275632119 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CSW003540 |
Business Practice Address: | 3169 2nd Ave E Big Stone Gap, VA - 242193805 |
Business Phone Number: | 2765238300 |
Business Fax Number: | 4234673644 |
Mailing Address: | 1167 Spratlin Park Dr, GRAY |
State: | TN |
Postal Code: | 376156205 |
Phone Number: | 4234673600 |
Fax Number: | 4234673644 |
NPI Enumeration Date: | 09/21/2006 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | CSW003540 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |