Johnson, Dianne Stanford

Johnson, Dianne Stanford is an individual health care provider with primary practice located at 601 Bombay Ln , Roswell GA 30076-5828. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Johnson, Dianne Stanford can be contacted via phone (770) 754-4674.

Contact Information

Primary practice address
601 Bombay Ln Roswell GA 30076-5828
Phone: (770) 754-4674
Fax: (770) 754-4676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X MSW005475 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW005263 Georgia

Profile Details

NPI number 1922384320
LBN Legal business name Johnson, Dianne Stanford
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2011
Last updated Aug 7th, 2015 - about 10 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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