Individual
VANESSA HINCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
220 EDGEWOOD DR, THOMASVILLE, GA 31792-4509
(407) 492-4117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW008939
GA
Other
Enumeration date
02/16/2020
Last updated
02/16/2020
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