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Individual

MS. DONNA ENDSLEY REAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
265 BOULEVARD NE, ATLANTA, GA 30312-1208
(404) 730-1650
Mailing address
734 BRIAR PARK CT NE, ATLANTA, GA 30306-2101
(404) 733-5502

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003216
GA

Other

Enumeration date
07/23/2007
Last updated
07/23/2007
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