Organization
JACQUELINE IRWIN, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE IRWIN WALKER LCSW (OWNER)
(404) 667-7267
Entity
Organization
Contact information
Practice address
1493 LAVISTA RD NE, ATLANTA, GA 30324-3846
(404) 667-7267
Mailing address
2281 BRIANWOOD TRL, DECATUR, GA 30033-1719
(404) 667-7267
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000334
GA
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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