MRS. SHANTAYIA NEAL PROVOST

LCSW specializing in social worker in Douglasville, Georgia

NPI: 1689350084

Provider Type

1

Practice Locations

Mailing Location

4595 FLAT WILLOW PL

DOUGLASVILLE, GA 30135

📞 4045785761

Practice Location

4595 FLAT WILLOW PL

DOUGLASVILLE, GA 30135

📞 4045485761

Provider Information

Gender:F
Sole Proprietor:No
Enumeration Date:6/22/2023
Last Updated:6/22/2023

Credentials

Primary Credential:LCSW