Individual
MS. DANIELLE NICHOLE WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 712-1640
(404) 712-1913
Mailing address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 712-1640
(404) 712-1913
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
CSW006759
GA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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