Individual
STACI BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
317 CREEKSTONE RDG, WOODSTOCK, GA 30188-3745
(770) 516-7138
(770) 516-3018
Mailing address
317 CREEKSTONE RDG, WOODSTOCK, GA 30188-3745
(770) 516-7138
(770) 516-3018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1623
GA
Other
Enumeration date
01/08/2007
Last updated
07/18/2007
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