Individual
SANDRA JULIANA BRAVO-PATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5231 FREMONT CT SW, STONE MOUNTAIN, GA 30087-3240
(678) 368-9623
Mailing address
5231 FREMONT CT SW, STONE MOUNTAIN, GA 30087-3240
(678) 368-9623
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004897
GA
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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