Individual
JILL ALLWEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
122 CHERRY ST NE, MARIETTA, GA 30060-7206
(770) 434-5914
(770) 422-2302
Mailing address
2080 CLINTON DR, MARIETTA, GA 30062-5848
(770) 434-5914
(770) 422-2302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW001787
GA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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