Individual
JASMINE CYPRIAN MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1585 OLD NORCROSS RD, SUITE 201E, LAWRENCEVILLE, GA 30046-4055
(678) 925-7716
Mailing address
PO BOX 888, DACULA, GA 30019-0015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004756
GA
Other
Enumeration date
07/03/2014
Last updated
07/03/2014
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