Provider Demographics
NPI:1245675149
Name:GILFORD, JUANITA (MSW)
Entity type:Individual
Prefix:
First Name:JUANITA
Middle Name:
Last Name:GILFORD
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 1:2102 FAIR RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-7401
Mailing Address - Country:US
Mailing Address - Phone:404-427-7820
Mailing Address - Fax:770-703-2050
Practice Address - Street 1:2102 FAIR RIDGE CT
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-7401
Practice Address - Country:US
Practice Address - Phone:404-427-7820
Practice Address - Fax:770-703-2050
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No171W00000XOther Service ProvidersContractor