Individual
JENNIFER M SUBLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1721 STERLING CIR, CAIRO, GA 39828-4501
(229) 356-6259
Mailing address
1721 STERLING CIR, CAIRO, GA 39828-4501
(229) 356-6259
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007313
GA
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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