Individual
JAQUAN THOMAS MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
2094 5TH AVE APT 3C, NEW YORK, NY 10035-1039
(917) 751-1361
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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