Individual
MRS. STEPHANIE BRANOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2274 LAKE COVE CT, BUFORD, GA 30519-4217
(972) 465-0224
Mailing address
2274 LAKE COVE CT, BUFORD, GA 30519-4217
(972) 465-0224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW008927
GA
Other
Enumeration date
02/08/2024
Last updated
10/15/2024
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