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Individual

KHARESEA BECKWORTH JENNINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
4720 RIDGEWOOD CREEK DR NW, ACWORTH, GA 30102-3483
(678) 913-9554
Mailing address
4720 RIDGEWOOD CREEK DR NW, ACWORTH, GA 30102-3483
(678) 913-9554

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007903
GA

Other

Enumeration date
05/31/2022
Last updated
05/31/2022
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