Individual
MR. GARY RONALD LESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
176 INDIAN SPRINGS ST, JACKSON, GA 30233-2124
(678) 447-5063
(770) 775-5118
Mailing address
PO BOX1818, JACKSON, GA 30233-4164
(678) 447-5063
(770) 775-5118
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW002890
GA
Other
Enumeration date
04/27/2009
Last updated
04/27/2009
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