Individual
CONNIE BRANOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1015 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-6653
(404) 523-6571
(404) 523-6574
Mailing address
1015 DONALD LEE HOLLOWELL PKWY NW, ATLANTA, GA 30318-6653
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005402
GA
Other
Enumeration date
10/04/2010
Last updated
10/04/2010
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