Individual
DONNA LEIGH BLISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
213 EAST BERKESHIRE CT, ATHENS, GA 30606-8406
(706) 248-6759
Mailing address
514 E GRAND AVE # 369, LARAMIE, WY 82070-3839
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07961
MD
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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