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Individual

MS. BRENDA MAUREEN ROMANCHIK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3050 ATLANTA RD SE, SMYRNA, GA 30080-8255
(248) 506-3137
Mailing address
3050 ATLANTA RD SE, SMYRNA, GA 30080-8255
(248) 506-3137
(248) 548-9239

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801088037
MI
1041C0700X
Clinical Social Worker
CSW005336
GA

Other

Enumeration date
05/03/2007
Last updated
08/05/2016
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