Doctor Name: | MRS. MARY L SAYRE |
NPI Number: | 1316270887 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW9508 |
Business Practice Address: | 243 W Main St Swainsboro, GA - 304013163 |
Business Phone Number: | 4782372484 |
Business Fax Number: | 4782377541 |
Mailing Address: | 243 W Main St, SWAINSBORO |
State: | GA |
Postal Code: | 304013163 |
Phone Number: | 4782372484 |
Fax Number: | 4782377541 |
NPI Enumeration Date: | 09/15/2009 |
NPI Last Update Date: | 07/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW9508 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |