Individual
BONNETT NA DULANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1330 CONCORD RD SE, SMYRNA, GA 30080-4375
(770) 861-8227
Mailing address
2236 ASQUITH AVE SW, MARIETTA, GA 30008-6001
(770) 861-8227
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
004123
GA
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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