Coley, Rae Sansom

Coley, Rae Sansom is an sole proprietor health care provider with primary practice located at 370 Lanier Ave E , Fayetteville GA 30214-2237. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coley, Rae Sansom can be contacted via phone (678) 884-4011.

Contact Information

Primary practice address
370 Lanier Ave E Fayetteville GA 30214-2237
Fax: (678) 263-8511
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004106 Georgia

Profile Details

NPI number 1326281544
LBN Legal business name Coley, Rae Sansom
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2009
Last updated Jun 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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