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Individual

MS. JENNIFER SUE SHELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(678) 377-3663
Mailing address
1904 BARNETT WEST CT, BUFORD, GA 30518-2485
(770) 456-5841

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003188
GA

Other

Enumeration date
10/03/2006
Last updated
07/08/2007
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