Organization
CREATIVE FAMILY CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKSON K EDWARDS DMIN., LCSW (DIRECTOR)
(404) 334-5859
Entity
Organization
Contact information
Practice address
1275 SHILOH RD NW STE 3030, KENNESAW, GA 30144
(404) 334-5859
Mailing address
1275 SHILOH RD NW STE 3030, KENNESAW, GA 30144-7186
(404) 334-5859
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006235
GA
Other
Enumeration date
06/24/2018
Last updated
06/24/2018
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