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Individual

CHIQUITA JALECIA CLEVELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 623-3262
Mailing address
120 ALEXANDER DRIVE EXT SW, MILLEDGEVILLE, GA 31061-3733
(478) 363-0665

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW011045
GA
1041C0700X
Clinical Social Worker
Primary
CSW009222
GA

Other

Enumeration date
06/16/2023
Last updated
11/04/2025
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