Individual
BIANCA CRISTINE CHANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR.
Contact information
Practice address
3735 CHEROKEE ST NW STE 903, KENNESAW, GA 30144-2081
(774) 224-7048
Mailing address
1000 JEFFERSON ST STE 2C, LYNCHBURG, VA 24504-1724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05530300
NJ
1041C0700X
Clinical Social Worker
Primary
LSW007207
GA
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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