Most Relevant Information
Provider Data
| NPI Number: | 1003650409 |
| Provider Name: | VANESSA LYNN FARLEY PARAPROFESSIONAL |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: | NA |
Most Important Dates
| Enumeration Date: | 06/20/2024 |
| Last Updated: | 06/20/2024 |
Provider Practice Location
1745 PHOENIX BLVD STE 305
ATLANTA
GA
303495534
Practice Location Phone/Fax
| Phone: | 4706190770 |
| Fax: |
Provider Mailing Location
1745 PHOENIX BLVD STE 305
ATLANTA
GA
303495534
Provider Mailing Phone/Fax
| Phone: | 4706190770 |
| Fax: |