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Chassidy M Stanley, LCSW

Social Worker, Clinical in Gainesville, GA. Individual provider (NPI-1).

NPI number1477564367
StatusActive
Last updated in NPPESFeb 22, 2017

Details

NPI
1477564367
Entity type
Individual (NPI-1)
Name
Chassidy M Stanley
Credential
LCSW
Sex
Female
Sole proprietor
No
Enumeration date
Aug 10, 2006
Last updated
Feb 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalCSW003469GAYes

Practice location

705 Jesse Jewell Pkwy Se
Suite 175
Gainesville, GA 30501-3867

Phone 770-718-9790 · Fax 770-718-5531

Mailing address

4364 Silver Peak Pkwy
Suwanee, GA 30024-4016

Phone 770-362-3268

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