Provider Demographics
NPI:1669598132
Name:QUINTON, DEBORAH MCGRAW (LCSW)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:MCGRAW
Last Name:QUINTON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1125 S GREEN ST
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-4617
Mailing Address - Country:US
Mailing Address - Phone:706-648-2054
Mailing Address - Fax:
Practice Address - Street 1:463 ERNEST BILES DR
Practice Address - Street 2:SUITE B
Practice Address - City:JACKSON
Practice Address - State:GA
Practice Address - Zip Code:30233-2229
Practice Address - Country:US
Practice Address - Phone:770-775-6645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0025881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical