Individual
ANA CORONADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
965 OAKLAND ROAD NW, SUITE 3B, LAWRENCEVILLE, GA 30044
(470) 709-2350
Mailing address
1017 FAYETTEVILLE RD SE, SUITE B, ATLANTA, GA 30316-2932
(470) 709-2350
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW06667
GA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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