Individual
DANIELLE DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1655 GRAYSON HWY APT 6307, GRAYSON, GA 30017-1133
(404) 803-1439
Mailing address
1655 GRAYSON HWY APT 6307, GRAYSON, GA 30017-1133
(404) 803-1439
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007007
GA
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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