Provider Demographics
NPI:1083359863
Name:WARE, SYLVIA (MSW)
Entity Type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:WARE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1468 BRIARWOOD RD NE UNIT 107
Mailing Address - Street 2:
Mailing Address - City:BROOKHAVEN
Mailing Address - State:GA
Mailing Address - Zip Code:30319-5735
Mailing Address - Country:US
Mailing Address - Phone:678-572-9336
Mailing Address - Fax:
Practice Address - Street 1:1468 BRIARWOOD RD NE UNIT 107
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:GA
Practice Address - Zip Code:30319-5735
Practice Address - Country:US
Practice Address - Phone:678-572-9336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker