Individual
COURTNEY RAE DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
400 PROSPECT PL, ALPHARETTA, GA 30005
(470) 231-5355
Mailing address
12480 PRESERVE LN, ALPHARETTA, GA 30005-7219
(619) 228-5784
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
25859
CA
1041C0700X
Clinical Social Worker
Primary
CSW005996
GA
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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