Provider Demographics
NPI:1881911832
Name:GOVAN, JOANNE (MSW)
Entity type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:GOVAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 OLDE TOWN PL
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236-2397
Mailing Address - Country:US
Mailing Address - Phone:678-508-5349
Mailing Address - Fax:678-610-8252
Practice Address - Street 1:1006 OLDE TOWN PL
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2397
Practice Address - Country:US
Practice Address - Phone:678-508-5349
Practice Address - Fax:678-610-8252
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker