Most Relevant Information
Provider Data
NPI Number: | 1003444019 |
Provider Name: | VANESSA STUBBS LSW |
Entity Type: | Individual |
Taxonomy Code: | 104100000X |
Specialty: | Social Worker |
License Number: | 44SL06468400 |
Most Important Dates
Enumeration Date: | 03/27/2020 |
Last Updated: | 08/09/2023 |
Provider Practice Location
3278 MITCHELL BLVD
MOODY AFB
GA
316991500
Practice Location Phone/Fax
Phone: | 2292573898 |
Fax: |
Provider Mailing Location
3278 MITCHELL BLVD
MOODY AFB
GA
316991500
Provider Mailing Phone/Fax
Phone: | 2292573898 |
Fax: |