Provider Information for 1053897009
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STEPHANIE MICHELLE DANSKY LCSW
Sex: Female
NPI: 1053897009
Last Updated: 2019-12-04
Certification Date:
Certification Date:
Details
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NPI | 1053897009 | ||||||||
Enumeration Date | 2018-07-12 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
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 | ||||||||
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