Individual
BONNIE HARTLEY-SELVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
1121 JOHNSON FERRY ROAD, SUITE 350, MARIETTA, GA 30068
(770) 610-1542
Mailing address
1121 JOHNSON FERRY ROAD, SUITE 350, MARIETTA, GA 30068
(770) 610-1542
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000324
GA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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