Defalco, Gina Marie

Defalco, Gina Marie is an individual health care provider with primary practice located at 485 Huntington Rd Ste 201, Athens GA 30606-1845. 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 / Clinical is her primary health care specialty. Defalco, Gina Marie can be contacted via phone (706) 546-8440.

Contact Information

Primary practice address
485 Huntington Rd Ste 201 Athens GA 30606-1845
Phone: (706) 546-8440
Fax: (706) 546-8456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X MSW002441 Georgia
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004228 Georgia

Profile Details

NPI number 1851366736
LBN Legal business name Defalco, Gina Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Oct 17th, 2022 - about 4 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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