Individual
MS. GLENETT HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2362 MAIN ST STE B, TUCKER, GA 30084-4477
(404) 433-8048
Mailing address
1048 CROWN BLVD, STONE MOUNTAIN, GA 30083-4771
(404) 433-8048
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW006172
GA
1041C0700X
Clinical Social Worker
Primary
CSW006863
GA
Other
Enumeration date
03/30/2015
Last updated
10/15/2019
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