Individual
JOANN SMITH DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, BCC
Contact information
Practice address
1878 MILLSTREAM HOLW, CONYERS, GA 30012-3504
(770) 634-0910
Mailing address
1878 MILLSTREAM HOLW, CONYERS, GA 30012-3504
(770) 634-0910
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
768
GA
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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