Individual
MS. ELLEN T. DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
261 PIONEER TRL, MARIETTA, GA 30068-3470
(646) 709-8540
Mailing address
261 PIONEER TRL, MARIETTA, GA 30068-3470
(646) 709-8540
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
076443-1
NY
1041C0700X
Clinical Social Worker
Primary
CSW005021
GA
Other
Enumeration date
07/14/2006
Last updated
06/06/2023
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