Individual
ANGELLA BRAMWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(770) 339-2395
(678) 990-3997
Mailing address
4202 COLONY EAST DR, STONE MOUNTAIN, GA 30083-5414
(404) 717-9263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW002446
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008096968
—
GA
05
—
00809696A
—
GA
Enumeration date
01/24/2013
Last updated
01/24/2013
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