Individual
DR. RONJONETTE NACOLE O'BANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 COLONIAL CENTER PKWY, ROSWELL, GA 30076-4899
(678) 426-2752
Mailing address
261 S DIVISION ST, BUFFALO, NY 14204-1711
(716) 893-8019
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
72-074583
NY
104100000X
Social Worker
Primary
72074583
NY
1041C0700X
Clinical Social Worker
72074583
NY
1041C0700X
Clinical Social Worker
Primary
CSW005702
GA
Other
Enumeration date
01/06/2009
Last updated
05/11/2026
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