Individual
JACQUELINE FROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
222 CHEROKEE ST NE, MARIETTA, GA 30060-1612
(404) 683-6415
(770) 977-9148
Mailing address
PO BOX 669023, MARIETTA, GA 30066-0101
(404) 683-6415
(770) 977-9148
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001562
GA
Other
Enumeration date
10/20/2005
Last updated
03/21/2017
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