Individual
DANIEL BRANDON CANEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
270 W OAK ST STE 2, LAWRENCEVILLE, GA 30046-4813
(706) 248-6389
Mailing address
165 DEKALB INDUSTRIAL WAY STE D-1, DECATUR, GA 30030-2230
(706) 248-6389
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW009067
GA
251S00000X
Community/Behavioral Health Agency
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Other
Enumeration date
08/17/2019
Last updated
03/22/2022
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