Individual
MR. DARREN JEROME GUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
4192 MURRAY LAKE CIR, FOREST PARK, GA 30297-5616
(708) 543-5915
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW009826
GA
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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