Cleveland, Iris Branch
Cleveland, Iris Branch is an individual health care provider with primary practice located at 715 Bradley Dr , Fayetteville GA 30214-2030. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cleveland, Iris Branch can be contacted via phone (770) 638-5252.Contact Information
Primary practice address
715 Bradley Dr
Fayetteville GA 30214-2030
Phone: (770) 638-5252
Fax: (770) 460-2463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 001900 | Georgia |
Profile Details
| NPI number | 1184904211 |
|---|---|
| LBN Legal business name | Cleveland, Iris Branch |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2011 |
| Last updated | Aug 21st, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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