| Donna Bruckner, Lcsw, Llc | |
|
4321 Atlanta St Powder Springs GA 30127-2672 | |
| (770) 943-8277 | |
| Not Available |
| Full Name | Donna Bruckner, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4321 Atlanta St, Powder Springs, Georgia |
| Authorized Official Name and Position | Donna Bruckner (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7706456393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Bruckner, Lcsw, Llc 2223 Lasalle Dr Marietta GA 30062-8149 Ph: (770) 645-6393 | Donna Bruckner, Lcsw, Llc 4321 Atlanta St Powder Springs GA 30127-2672 Ph: (770) 943-8277 |
| NPI Number | 1215260153 |
|---|---|
| Provider Enumeration Date | 09/10/2009 |
| Last Update Date | 09/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215260153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW003290 (Georgia) | Primary |
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