| Ms Irina Soboleva-tippett, | |
|
119 Beowulf Ln, Leesburg, GA 31763-5830 | |
| (229) 854-4867 | |
| Not Available |
| Full Name | Ms Irina Soboleva-tippett |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 119 Beowulf Ln, Leesburg, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801661673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | MSW010782 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Irina Soboleva-tippett, 119 Beowulf Ln, Leesburg, GA 31763-5830 Ph: (229) 854-4867 | Ms Irina Soboleva-tippett, 119 Beowulf Ln, Leesburg, GA 31763-5830 Ph: (229) 854-4867 |
Mrs. Stephanie Wilder Davidson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Willow Lake Dr, Leesburg, GA 31763 Phone: 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 |