| Doctor Name: | MS. ABIGAIL SUSANNAH HOLBROOK |
| NPI Number: | 1326154089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CSW003391 |
| Business Practice Address: | 1551 Jennings Mill Rd Suite 3200 A Watkinsville, GA - 306777244 |
| Business Phone Number: | 7064244814 |
| Business Fax Number: | 7064244814 |
| Mailing Address: | Po Box 7742, ATHENS |
| State: | GA |
| Postal Code: | 306047742 |
| Phone Number: | 7064244814 |
| Fax Number: | 7064244814 |
| NPI Enumeration Date: | 08/22/2006 |
| NPI Last Update Date: | 06/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW003391 |
| 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 |