Individual
MS. MIRANDA DANIELLE HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-7796
Mailing address
902 SUMMERBROOK DR, ATLANTA, GA 30350-3070
(404) 271-2607
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004070
GA
Other
Enumeration date
10/15/2019
Last updated
10/25/2022
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