Individual
MRS. JUANITA MARIANENA RENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
80 PATRIOT DR, RICHMOND HILL, GA 31324-7613
(912) 856-7765
Mailing address
80 PATRIOT DR, RICHMOND HILL, GA 31324-7613
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007742
GA
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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