Individual
JEFF C RADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
2290 N DECATUR RD, DECATUR, GA 30033-5427
(404) 550-4745
Mailing address
2290 N DECATUR RD, DECATUR, GA 30033-5427
(404) 550-4745
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003428
GA
Other
Enumeration date
07/30/2013
Last updated
03/13/2017
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