Individual
MR. JEREMY SCOTT LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2411
Mailing address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2411
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
65981
TX
1041C0700X
Clinical Social Worker
Primary
CSW008115
GA
Other
Enumeration date
11/10/2020
Last updated
06/21/2022
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