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Provider Information for 1144558982


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Dr. TERESA GREAR LCSW


Sex: Female

NPI: 1144558982
Last Updated: 2009-12-04
Certification Date:

Details

NameValue
NPI1144558982
Enumeration Date2009-12-04
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 615 ROSWELL ST NE
SUITE 1000
MARIETTA, GA 30060-2196
United States

Phone: 770-795-1234 | Fax:
 
Primary Practice Address 615 ROSWELL ST NE
SUITE 1000
MARIETTA, GA 30060-2196
United States

Phone: 770-795-1234 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalGA001672