Individual
MS. JESSIE BRINSON GREENE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 HUNTINGTON ROAD, EXECUTIVE PARK #204, ATHENS, GA 30606
(706) 543-4948
(706) 543-4458
Mailing address
1 HUNTINGTON ROAD, EXECUTIVE PARK #204, ATHENS, GA 30606
(706) 543-4948
(706) 543-4458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1800
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#1800
LICENSE
GA
Enumeration date
11/06/2006
Last updated
07/08/2007
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