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Organization
THERAPEUTIC CONNECTIONS
Active
Organization
THERAPEUTIC CONNECTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATIYA JACKSON OSHODI LCSW (OWNER)
(678) 542-7690
Entity
Organization
Contact information
Practice address
119 AUTUMN CREEK DR, DALLAS, GA 30157-7186
(678) 542-7690
Mailing address
119 AUTUMN CREEK DR, DALLAS, GA 30157-7186
(678) 542-7690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003379
GA
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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