Individual
JENNIFER PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
954 SAINT CHARLES AVE NE APT 1, ATLANTA, GA 30306-4750
(678) 871-6296
Mailing address
954 SAINT CHARLES AVE NE APT 1, ATLANTA, GA 30306-4750
(678) 871-6296
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004717
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640804505E
—
GA
Enumeration date
08/29/2012
Last updated
03/26/2025
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