Individual
JESSICA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 GAINES SCHOOL RD, SUITE A4C, ATHENS, GA 30605-3198
(706) 614-3132
Mailing address
1060 GAINES SCHOOL RD, SUITE A4C, ATHENS, GA 30605-3198
(706) 614-3132
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005864
GA
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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