Individual
JESSY P HALABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3915 CASCADE RD SUITE T-138, ATLANTA, GA 30331
(410) 236-3487
Mailing address
780 MOROSGO DR NE UNIT 14792, ATLANTA, GA 30324-9071
(410) 236-3487
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW007573
GA
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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