Life Tools Community Development Corporation | |
5357 Chapel Hill Rd Douglasville GA 30135-5027 | |
(770) 942-4742 | |
(770) 293-0786 |
Full Name | Life Tools Community Development Corporation |
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Speciality | Social Worker - Clinical |
Location | 5357 Chapel Hill Rd, Douglasville, Georgia |
Authorized Official Name and Position | Danielle R Bonich (PROGRAM DIRECTOR) |
Authorized Official Contact | 7709424742 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life Tools Community Development Corporation 5357 Chapel Hill Rd Douglasville GA 30135-5027 Ph: (770) 942-4742 | Life Tools Community Development Corporation 5357 Chapel Hill Rd Douglasville GA 30135-5027 Ph: (770) 942-4742 |
NPI Number | 1053978700 |
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Provider Enumeration Date | 05/28/2019 |
Last Update Date | 01/16/2020 |
Certification Date | 01/16/2020 |
Identifier | Type | State | Issuer |
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1053978700 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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