Cynthia Bacon-Whitted, LCSW

NPI #1730242009 in College Park, Georgia

Provider Information

NPI Number: 1730242009
Entity Type: Individual
Name: Cynthia Bacon-Whitted, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: Dec 18, 2006
Last Updated: Jan 19, 2017

Practice Location

Address: 6200 RIVEROAK TER
City: College Park
State: Georgia
ZIP Code: 30349-4095
Phone: (404) 483-0577

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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