Individual
BIANCA LANA HALLMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1974 CROSSWATERS DR, DACULA, GA 30019-1711
(404) 247-3751
Mailing address
PO BOX 1431, DACULA, GA 30019-0025
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
007957
GA
1041C0700X
Clinical Social Worker
Primary
007374
GA
Other
Enumeration date
10/04/2018
Last updated
04/05/2024
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