Gresham, Quinten G
Gresham, Quinten G is an sole proprietor health care provider with primary practice located at 5044 Golfbrook Dr , Stone Mountain GA 30088-2810. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gresham, Quinten G can be contacted via phone (770) 469-7297.Contact Information
Primary practice address
5044 Golfbrook Dr
Stone Mountain GA 30088-2810
Phone: (770) 469-7297
Fax: (770) 413-1534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW001114 | Georgia |
Profile Details
| NPI number | 1831324664 |
|---|---|
| LBN Legal business name | Gresham, Quinten G |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2009 |
| Last updated | May 22nd, 2009 - about 17 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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