Individual
MS. DONNELLE DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3530 W LAKE DR, AUGUSTA, GA 30907-9530
(951) 294-2094
Mailing address
3530 W LAKE DR, AUGUSTA, GA 30907-9530
(951) 294-2094
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW28706
CA
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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