Organization
AKC HEALTHCARE, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CUSHINBERRY LCSW (ADMINISTRATOR)
(770) 337-2037
Entity
Organization
Contact information
Practice address
1180 MCKENDREE CHURCH RD, 207, LAWRENCEVILLE, GA 30043-5207
(770) 676-6741
Mailing address
1180 MCKENDREE CHURCH RD, 207, LAWRENCEVILLE, GA 30043-5207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004032
GA
Other
Enumeration date
04/26/2009
Last updated
10/25/2010
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