Provider Information for 1467112524
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TEKISHA MITCHELL NORWOOD LCSW
Sex: Female
NPI: 1467112524
Last Updated: 2025-01-06
Certification Date: 2025-01-06
Certification Date: 2025-01-06
Details
| Name | Value | |||||||||||||||||||||
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| NPI | 1467112524 | |||||||||||||||||||||
| Enumeration Date | 2021-12-29 | |||||||||||||||||||||
| NPI Type | NPI-1 Individual | |||||||||||||||||||||
| Sole Proprietor | YES | |||||||||||||||||||||
| Status | Active | |||||||||||||||||||||
| Mailing Address | 208 URBANA OAKS WAY BRUNSWICK, GA 31520-6334 United States Phone: 601-325-0299 | Fax: | |||||||||||||||||||||
| Primary Practice Address | 208 URBANA OAKS WAY BRUNSWICK, GA 31520-6334 United States Phone: 601-325-0299 | Fax: | |||||||||||||||||||||
| Secondary Practice Address(es) | 1345 REDMOND CIR NW | |||||||||||||||||||||
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