Individual
ANNE PHANNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1391 COLLIER RD NW APT 1415, ATLANTA, GA 30318-7450
(770) 800-7183
Mailing address
1391 COLLIER RD NW APT 1415, ATLANTA, GA 30318-7450
(770) 800-7183
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW008986
GA
1041C0700X
Clinical Social Worker
Primary
CSW009229
GA
Other
Enumeration date
07/06/2022
Last updated
10/14/2024
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