Individual
HANNAH QUACKENBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3042 ANDERSON PL, DECATUR, GA 30033-1602
(470) 231-8041
Mailing address
3042 ANDERSON PL, DECATUR, GA 30033-1602
(470) 231-8041
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007768
GA
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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