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Individual

SHELLY DANIEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
366 POWDER SPRINGS ST STE 204, MARIETTA, GA 30064-3424
(770) 337-8921
(410) 569-0094
Mailing address
668 GLENBARRETT CT NE, MARIETTA, GA 30066-8511
(770) 337-8921

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004860
GA

Other

Enumeration date
04/15/2014
Last updated
10/01/2024
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