SearchGeorgia1041C0700X

Vanessa Shoop, LCSW

NPI 1740342344 · on the registry since 2006

Practice

Address
4549 Tiffany Ln
Loganville, GA 30052
Phone
(678) 910-8772

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Also registered as
104100000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-09-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia