Bravo-Patino, Sandra Juliana
Bravo-Patino, Sandra Juliana is an sole proprietor health care provider with primary practice located at 5231 Fremont Ct Sw , Stone Mountain GA 30087-3240. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bravo-Patino, Sandra Juliana can be contacted via phone (678) 368-9623.Contact Information
Primary practice address
5231 Fremont Ct Sw
Stone Mountain GA 30087-3240
Phone: (678) 368-9623
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CSW004897 | Georgia |
Profile Details
| NPI number | 1225454960 |
|---|---|
| LBN Legal business name | Bravo-Patino, Sandra Juliana |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2014 |
| Last updated | Mar 5th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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