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Organization
THERAPEUTIC IMPRESSIONS LLC
Active
Organization
THERAPEUTIC IMPRESSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA B SHERIDAN LCSW (OWNER, THERAPIST)
(678) 595-2020
Entity
Organization
Contact information
Practice address
104 PILGRIM VILLAGE DR STE 300, CUMMING, GA 30040-9232
(678) 595-2020
Mailing address
104 PILGRIM VILLAGE DR STE 300, CUMMING, GA 30040-9232
(678) 595-2020
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
005777
GA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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