Individual
MS. JERRI LYNN FROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
110 PARKER AVE S, BROOKLET, GA 30415-8208
(706) 490-2555
(912) 823-4232
Mailing address
PO BOX 2, BROOKLET, GA 30415-0002
(706) 490-2555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW 003122
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10045584
AMERIGROUP
GA
05
—
312364857A
—
GA
05
—
312364857B
—
GA
05
—
312364857C
—
GA
Enumeration date
02/07/2007
Last updated
03/09/2025
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