Organization
SALLY H CLANIN, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY H. CLANIN LCSW (OWNER)
(828) 989-0160
Entity
Organization
Contact information
Practice address
922 HIGHWAY 81 E, STE 151, MCDONOUGH, GA 30252-2978
(828) 989-0160
Mailing address
55 JONESBORO ST, MCDONOUGH, GA 30253-3164
(828) 989-0160
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004476
GA
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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