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DANIELLE DEANE LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1407454663
Individual Registrant: DANIELLE DEANE LCSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1655 GRAYSON HWY APT 6307 GRAYSON, GA 30017-1133 US
Tel: 404-803-1439 Fax: --
Tel: 404-803-1439 Fax: --
Contact information for business:
1655 GRAYSON HWY APT 6307 GRAYSON, GA 30017-1133 US
Tel: 404-803-1439 Fax: --
Tel: 404-803-1439 Fax: --
Registration Information:
NPI: 1407454663
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | GA | CSW007007 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
