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Provider Information for 1053897009


The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.

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STEPHANIE MICHELLE DANSKY LCSW


Sex: Female

NPI: 1053897009
Last Updated: 2019-12-04
Certification Date:

Details

NameValue
NPI1053897009
Enumeration Date2018-07-12
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 135 GOSHEN ROAD EXT STE 256
RINCON, GA 31326-5575
United States

Phone: 912-421-1000 | Fax:912-421-1189
 
Primary Practice Address 135 GOSHEN ROAD EXT STE 256
RINCON, GA 31326-5575
United States

Phone: 912-421-1000 | Fax:912-421-1189
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalGACSW006980