Individual
MRS. DULCIE JEAN-JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
2292 LAZY DAYS RD, DACULA, GA 30019-6676
(678) 698-4072
(678) 482-2069
Mailing address
2292 LAZY DAYS RD, DACULA, GA 30019-6676
(678) 698-4072
(678) 482-2069
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00077159A
—
GA
Enumeration date
04/24/2007
Last updated
07/09/2007
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