Individual
JILLIAN MARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4686 US 84 BYP W, THOMASVILLE, GA 31792-2639
(229) 413-1710
Mailing address
252 WOODLANDS BLVD # 1659, THOMASVILLE, GA 31792-3200
(229) 225-5208
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW011271
GA
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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