Most Relevant Information
Provider Data
| NPI Number: | 1003668385 |
| Provider Name: | SANDRA J WIMBUSH LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | CSW005699 |
Most Important Dates
| Enumeration Date: | 04/02/2024 |
| Last Updated: | 04/02/2024 |
Provider Practice Location
212 HAMMERHAWK RD
GRIFFIN
GA
302231515
Practice Location Phone/Fax
| Phone: | 4044440615 |
| Fax: |
Provider Mailing Location
PO BOX 822
GRIFFIN
GA
302240022
Provider Mailing Phone/Fax
| Phone: | 4044440615 |
| Fax: |