Provider Demographics
NPI:1578091013
Name:FARNUM, GIOVANNA (SOCIAL WORKER)
Entity Type:Individual
Prefix:
First Name:GIOVANNA
Middle Name:
Last Name:FARNUM
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 HARBINS RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-3948
Mailing Address - Country:US
Mailing Address - Phone:678-685-8378
Mailing Address - Fax:
Practice Address - Street 1:440 WINN WAY FL 3
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1715
Practice Address - Country:US
Practice Address - Phone:678-685-8378
Practice Address - Fax:678-685-8378
Is Sole Proprietor?:No
Enumeration Date:2017-05-29
Last Update Date:2017-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker