Individual
JEREMY HOUSTON NOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
546 BARRON DR, CLARKESVILLE, GA 30523-5502
(706) 768-1620
Mailing address
546 BARRON DR, CLARKESVILLE, GA 30523-5502
(706) 768-1620
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW010891
GA
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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