Individual
MRS. JAMIE CAROL FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
317 W HILL ST STE 203B, DECATUR, GA 30030-4368
(470) 207-1487
Mailing address
1375 MOSSWOOD LN SE, SMYRNA, GA 30082-3956
(770) 312-6834
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006238
GA
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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