Individual
ALISON BETH JEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
135 W TISBURY LN, POOLER, GA 31322-8266
(912) 388-0604
Mailing address
135 W TISBURY LN, POOLER, GA 31322-8266
(706) 224-1129
(706) 383-7545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003513
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
628184094A
—
GA
Enumeration date
09/05/2007
Last updated
05/08/2024
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