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Individual

JACLYN DEVORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, NCC

Contact information

Practice address
1100 SPRING ST NW, SUITE 755, ATLANTA, GA 30309-2846
(813) 260-0897
Mailing address
2111 CREST LANE DR SE, SMYRNA, GA 30080-8631
(813) 260-0897

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/24/2015
Last updated
06/24/2015
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