Individual
JENNIFER CUSHINBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1180 MCKENDREE CHURCH ROAD, 207, LAWRENCEVILLE, GA 30043-7512
(770) 676-6741
Mailing address
1180 MCKENDREE CHURCH ROAD, 207, LAWRENCEVILLE, GA 30043-7512
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004032
GA
Other
Enumeration date
03/25/2009
Last updated
10/25/2010
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