Individual
HANNA JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
809 CHURCH ST, DECATUR, GA 30030-1870
(404) 500-8429
Mailing address
254 TRICKUM CREEK RD, TYRONE, GA 30290-1711
(404) 323-6168
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005898
GA
Other
Enumeration date
10/14/2017
Last updated
03/17/2018
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