Individual
JENNIFER GILREATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3395 SIXES RD, CANTON, GA 30114-9125
(678) 880-8385
Mailing address
5560 HAIR LAKE RD, SUMMERVILLE, GA 30747-6301
(706) 978-1330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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