Individual
CELISA A DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CAADC
Contact information
Practice address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-4104
Mailing address
6600 VAN AALST BLVD, FORT MOORE, GA 31905-2102
(762) 408-4104
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801103713
MI
Other
Enumeration date
11/30/2009
Last updated
08/07/2024
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