Matthew Dean Whitis, LCSW, MAC
NPI #1245509827 in Fort Moore, Georgia
Provider Information
- NPI Number
- 1245509827
- Entity Type
- Individual
- Name
- Matthew Dean Whitis, LCSW, MAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Social Worker
- Credential
- LCSW, MAC
- Enumeration Date
- Dec 28, 2011
- Last Updated
- Oct 17, 2024
Practice Location
- Address
- 6600 VAN AALST BLVD BLDG 9250
- City
- Fort Moore
- State
- Georgia
- ZIP Code
- 31905-2102
- Phone
- (706) 545-5244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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