Individual
CHRISTINE RAE JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4823 N ROYAL ATLANTA DR, TUCKER, GA 30084-3806
(770) 939-2121
Mailing address
4823 N ROYAL ATLANTA DR, TUCKER, GA 30084-3806
(770) 939-2121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005807
GA
1041C0700X
Clinical Social Worker
LCSW149-010541
IL
Other
Enumeration date
10/11/2006
Last updated
03/23/2017
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