Provider Demographics
NPI:1740411123
Name:DAILEY, SARAH SNYDER (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:SNYDER
Last Name:DAILEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 N DECATUR RD
Mailing Address - Street 2:#444
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5305
Mailing Address - Country:US
Mailing Address - Phone:404-377-3773
Mailing Address - Fax:404-377-4955
Practice Address - Street 1:215 CHURCH ST
Practice Address - Street 2:SUITE 105
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-3330
Practice Address - Country:US
Practice Address - Phone:404-377-3773
Practice Address - Fax:404-377-4955
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0031451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical