Individual
JESSICA KNIGHT DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1967 LAKESIDE PKWY STE 400, TUCKER, GA 30084-5867
(404) 327-5820
Mailing address
1967 LAKESIDE PKWY STE 400, TUCKER, GA 30084-5867
(404) 327-5820
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
MSW008758
GA
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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