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Individual

MS. ELLISHA MICHELLE JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1061 HARMON AVE STE 1D03, CDR USA MEDDAC, FORT STEWART, GA 31314-5641
(912) 435-6633
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004373
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CSW004373
GA LINCESESTATE
GA
Enumeration date
09/13/2006
Last updated
12/14/2023
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