Individual
JENNIFER GERARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
265 W PIKE ST, SUITE 4, LAWRENCEVILLE, GA 30046-4896
(678) 431-4861
Mailing address
265 W PIKE ST, SUITE 4, LAWRENCEVILLE, GA 30046-4896
(678) 431-4861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004517
GA
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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