Most Relevant Information
Provider Data
| NPI Number: | 1003455338 |
| Provider Name: | VIVIAN DANIEL |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/03/2020 |
| Last Updated: | 01/03/2020 |
Provider Practice Location
151 LOCUST ST
AVONDALE ESTATES
GA
300021050
Practice Location Phone/Fax
| Phone: | 6789408671 |
| Fax: |
Provider Mailing Location
151 LOCUST ST
AVONDALE ESTATES
GA
300021050
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |