Individual
MRS. JENNIFER MARIE RENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5208 MICHAELS WAY, WOODSTOCK, GA 30188-4675
(407) 929-6925
Mailing address
1301 SHILOH RD NW STE 1810, KENNESAW, GA 30144-7171
(678) 324-1474
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006423
GA
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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