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Individual

MRS. DANETTE MARIE HILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
94 CEDAR WAY, DALLAS, GA 30132-8060
(678) 778-3183
Mailing address
94 CEDAR WAY, DALLAS, GA 30132-8060
(678) 778-3183

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW005859
GA
1041C0700X
Clinical Social Worker
Primary
CSW005874
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CSW005874
LICENSED CLINICAL SOCIAL WORKER
GA
01
MSW005859
MASTER OF SOCIAL WORK LICENSE
GA
Enumeration date
04/04/2013
Last updated
07/03/2017
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