Individual
DAIRLYN J CHELETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
2801 BUFORD HWY NE, STE 508, BROOKHAVEN, GA 30329-2137
(678) 397-1189
Mailing address
2801 BUFORD HWY NE, STE 508, BROOKHAVEN, GA 30329-2137
(770) 446-5642
(770) 446-5643
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000477
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300868553
TAX ID
GA
Enumeration date
11/09/2006
Last updated
01/30/2022
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