Individual
DENISE BURT VANBRACKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1000 CHASTAIN ROAD, HOUSE 53, KENNESAW, GA 30144
(678) 797-2018
Mailing address
1000 CHASTAIN ROAD, KSU HOUSE 53, KENNESAW, GA 30144
(678) 797-2018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003112
GA
Other
Enumeration date
02/18/2013
Last updated
02/26/2013
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