Timothy James Whailen, LCSW

NPI #1609445097 in Hiram, Georgia

Provider Information

NPI Number
1609445097
Entity Type
Individual
Name
Timothy James Whailen, LCSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LCSW
Enumeration Date
Jun 21, 2021
Last Updated
Jul 27, 2021

Practice Location

Address
107 ENTERPRISE PATH STE 301
City
Hiram
State
Georgia
ZIP Code
30141-2690
Phone
(706) 509-0130

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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