Individual
NICOLE JUSTINE JAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6767
Mailing address
275 W PIKE ST, LAWRENCEVILLE, GA 30046-4877
(678) 805-5181
(678) 376-8398
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004514
GA
Other
Enumeration date
11/18/2008
Last updated
04/04/2015
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