Individual
JAIRUS DANIEL ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1878 WESTON LN, TUCKER, GA 30084-5500
(404) 860-0840
Mailing address
1878 WESTON LN, TUCKER, GA 30084-5500
(404) 202-0056
(470) 514-5912
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006087
GA
Other
Enumeration date
02/09/2018
Last updated
07/01/2021
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