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Individual

MS. JASMINE V MCCULLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1835 SAVOY DR, ATLANTA, GA 30341-1072
(219) 484-5904
Mailing address
PO BOX 90265, EAST POINT, GA 30364-0265
(219) 484-5904
(888) 773-1428

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149021602
IL
1041C0700X
Clinical Social Worker
34009515A
IN
1041C0700X
Clinical Social Worker
6801107178
MI
1041C0700X
Clinical Social Worker
Primary
CSW006990
GA

Other

Enumeration date
09/14/2016
Last updated
08/22/2022
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