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Individual

JENNIFER LYNNE OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3662 CEDARCREST RD, ACWORTH, GA 30101-8928
(770) 842-4907
Mailing address
59 SENTRY RDG, DALLAS, GA 30157-7928
(770) 842-4907

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006794
GA

Other

Enumeration date
04/26/2023
Last updated
04/26/2023
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