Individual
MRS. JAIME HORNE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1375 IDLEWOOD PARC XING, TUCKER, GA 30084-7836
(470) 219-1670
Mailing address
2967 SANDY LN SE, SMYRNA, GA 30082-1943
(470) 219-1670
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004966
GA
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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