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Individual

MS. JESSICA KAYLA PURVIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3131 S MAIN ST, MOULTRIE, GA 31768-6925
(229) 891-9443
Mailing address
PO BOX 2876, MOULTRIE, GA 31776-2876
(229) 891-9131

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006894
GA

Other

Enumeration date
10/17/2017
Last updated
09/08/2025
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