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Individual

JACQUELINE IRWIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1493 LAVISTA RD NE, ATLANTA, GA 30324-3846
(404) 667-7267
Mailing address
2281 BRIANWOOD TRL, DECATUR, GA 30033-1719
(404) 667-7267

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000334
GA

Other

Enumeration date
09/01/2006
Last updated
08/13/2010
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