Individual
JENNIFER NOWICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
563 FAITH ST NW, MARIETTA, GA 30064-2143
(704) 564-5021
(770) 514-2803
Mailing address
563 FAITH ST NW, MARIETTA, GA 30064-2143
(704) 564-5021
(770) 514-2803
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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