Individual
SHANELL DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1911 GRAYSON HWY STE 8187, GRAYSON, GA 30017-1245
(347) 633-5204
Mailing address
2250 SHADY MAPLE LN, LOGANVILLE, GA 30052-5888
(347) 633-5204
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010046
GA
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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