Individual
MRS. JENNIFER NICOLE DEVITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30045-8444
(770) 339-5377
(770) 339-5016
Mailing address
807 LINCOLN COURT AVE NE, ATLANTA, GA 30329-1812
(404) 315-4802
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MSW004395
GA
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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