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Individual

JENNIFER E HESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
977A TAYLOR ST SW, CONYERS, GA 30012-5357
(770) 918-6677
(770) 918-6694
Mailing address
PO BOX 687, LAWRENCEVILLE, GA 30046-0687
(770) 339-5005

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004416
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
004416
LICENSE
GA
Enumeration date
02/16/2009
Last updated
01/06/2012
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