Individual
GABRIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8335 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6937
(678) 324-0476
Mailing address
8335 OFFICE PARK DR, DOUGLASVILLE, GA 30134-6937
(678) 324-0476
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004803
GA
1041C0700X
Clinical Social Worker
—
DE
Other
Enumeration date
05/27/2010
Last updated
05/14/2020
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