Individual
JEFFREY L. BARKSDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5095
(678) 990-3997
Mailing address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5095
(678) 990-3997
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW003134
GA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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