Individual
MARLYNN NEWSOME BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
705 BREEDLOVE DR STE 100, MONROE, GA 30655-2080
(770) 266-0935
Mailing address
705 BREEDLOVE DR STE 100, MONROE, GA 30655-2080
(678) 699-7782
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW009642
GA
Other
Enumeration date
05/06/2021
Last updated
09/23/2025
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