Individual
JAMIE GADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
215 BRADLEY ST, CARROLLTON, GA 30117-3217
(770) 832-9140
Mailing address
215 BRADLEY ST, CARROLLTON, GA 30117-3217
(770) 832-9140
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009743
GA
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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