Provider Demographics
NPI:1376243378
Name:MCDOWELL GUNN, VALRIE
Entity Type:Individual
Prefix:
First Name:VALRIE
Middle Name:
Last Name:MCDOWELL GUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:VALARIE
Other - Middle Name:
Other - Last Name:MCDOWELL GUNN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2086 JODECO RD # 1261
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-5220
Mailing Address - Country:US
Mailing Address - Phone:404-326-7680
Mailing Address - Fax:
Practice Address - Street 1:2086 JODECO RD # 1261
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-5220
Practice Address - Country:US
Practice Address - Phone:404-326-7680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-08
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0081391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical