Provider Demographics
NPI:1629636527
Name:DUNKIN, GLENDIA RASHAUN (MSW)
Entity Type:Individual
Prefix:
First Name:GLENDIA
Middle Name:RASHAUN
Last Name:DUNKIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:GLENDIA
Other - Middle Name:RASHAUN
Other - Last Name:DUNKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2751 HAMMONDTON RD SE APT 1-2
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-5363
Mailing Address - Country:US
Mailing Address - Phone:205-720-6613
Mailing Address - Fax:
Practice Address - Street 1:3040 HOLCOMB BRIDGE RD STE J2
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-1357
Practice Address - Country:US
Practice Address - Phone:770-696-9231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-05
Last Update Date:2019-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health