Individual
MS. JAN N YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4519
(478) 751-4530
Mailing address
175 EMERY HWY, MACON, GA 31217-3692
(478) 751-4519
(478) 751-4530
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW000876
GA
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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