Provider Demographics
NPI:1255433298
Name:PRYOR, SHARON D (LMSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:D
Last Name:PRYOR
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:DENISE
Other - Last Name:PRYOR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:1826 VETERANS BLVD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-3620
Mailing Address - Country:US
Mailing Address - Phone:478-272-1210
Mailing Address - Fax:478-277-2719
Practice Address - Street 1:1826 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-3620
Practice Address - Country:US
Practice Address - Phone:478-277-2719
Practice Address - Fax:478-277-2719
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-01
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW002088104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker