Individual
JESSICA THELMA ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 WELLBORN RD, LITHONIA, GA 30058-5438
(404) 732-6439
Mailing address
3111 MINERAL RIDGE LN, STONE MOUNTAIN, GA 30087-4282
(404) 732-6439
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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