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Individual

MRS. MINDY B. JEWETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
465 WINN WAY, SUITE 221, DECATUR, GA 30030-1753
(404) 292-3810
(404) 292-3848
Mailing address
2060 LONGVIEW WAY, ATLANTA, GA 30341-1512
(678) 333-6311

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
003045
GA

Other

Enumeration date
03/07/2007
Last updated
07/08/2007
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