Individual
MR. JASON BYRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
15384 US HIGHWAY 441, MC INTYRE, GA 31054-2283
(478) 251-5711
Mailing address
15384 US HIGHWAY 441, MC INTYRE, GA 31054-2283
(478) 251-5711
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006573
GA
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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