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Individual

JESSICA BUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1493 GRANT DR NE, BROOKHAVEN, GA 30319-3527
(608) 214-8338
Mailing address
1493 GRANT DR NE, BROOKHAVEN, GA 30319-3527
(082) 148-3386

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
Primary
CSW006871
GA

Other

Enumeration date
05/25/2016
Last updated
08/04/2025
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