Individual
JEZREEL AMICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 E TRINITY PL, DECATUR, GA 30030-3302
(404) 378-2300
Mailing address
817 LAKEVIEW WAY, JONESBORO, GA 30238-5662
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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