Individual
DANNIELLE LEE GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1301 SHILOH RD NW STE 710, KENNESAW, GA 30144-7157
(770) 792-0079
(888) 394-1986
Mailing address
1301 SHILOH RD NW STE 710, KENNESAW, GA 30144-7157
(770) 792-0079
(888) 394-1986
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CSW004453
GA
Other
Enumeration date
04/05/2015
Last updated
04/05/2015
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