Individual
BIANCA LATOYA HAROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1850 LAKE PARK DR SE STE 216, SMYRNA, GA 30080-7642
(229) 800-9695
(617) 807-0958
Mailing address
PO BOX 748465, ATLANTA, GA 30374-8465
(855) 284-7483
(617) 807-0958
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009882
GA
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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