Individual
MS. DOMINIQUE CHANEL HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1708 PEACHTREE ST, NW, SUITE 425, ATLANTA, GA 30309-7020
(678) 561-1067
Mailing address
1708 PEACHTREE ST, NW, SUITE 425, ATLANTA, GA 30309-7020
(678) 561-6994
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1041C0700X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW003395
CLINICAL SOCIAL WORKER
GA
Enumeration date
10/16/2006
Last updated
12/10/2024
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