Individual
DESHANAE BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1771 MEADOW LN SW, ATLANTA, GA 30315-4805
(678) 467-1070
Mailing address
1771 MEADOW LN SW, ATLANTA, GA 30315-4805
(678) 467-1070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007719
GA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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