Mrs Stephanie Wilder Davidson, LCSW | |
133 Willow Lake Dr, Leesburg, GA 31763-5386 | |
(229) 886-8497 | |
Not Available |
Full Name | Mrs Stephanie Wilder Davidson |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 133 Willow Lake Dr, Leesburg, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417982190 | NPI | - | NPPES |
1417982190 | Other | GA | NPI NUMBER |
381809514A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 003623 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Stephanie Wilder Davidson, LCSW 133 Willow Lake Dr, Leesburg, GA 31763-5386 Ph: (229) 886-8497 | Mrs Stephanie Wilder Davidson, LCSW 133 Willow Lake Dr, Leesburg, GA 31763-5386 Ph: (229) 886-8497 |
Mrs. Ayesha Aqueelah Thomas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 148 Belmont Dr, Leesburg, GA 31763 Phone: 203-551-7301 | |
Tabitha Smith, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 165 Cedric St, Leesburg, GA 31763 Phone: 229-405-1900 Fax: 229-304-4486 | |
Ms. Irina Soboleva-tippett, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 119 Beowulf Ln, Leesburg, GA 31763 Phone: 229-854-4867 |