Individual
FANA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
267 LANGLEY DR # 1096, LAWRENCEVILLE, GA 30046-6907
(770) 624-6572
Mailing address
267 LANGLEY DR # 1096, LAWRENCEVILLE, GA 30046-6907
(770) 624-6572
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/02/2020
Last updated
01/26/2023
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