Organization
LIFE TOOLS COMMUNITY DEVELOPMENT CORPORATION
Active
Other names
The Life Development Center
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE R BONICH LCSW (PROGRAM DIRECTOR)
(770) 942-4742
Entity
Organization
Contact information
Practice address
5357 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-5027
(770) 942-4742
(770) 293-0786
Mailing address
5357 CHAPEL HILL RD, DOUGLASVILLE, GA 30135-5027
(770) 942-4742
(770) 293-0786
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
01/16/2020
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