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Individual

THOMAS B. JENNINGS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, LPC

Contact information

Practice address
75 1ST AVE, NEWNAN, GA 30263-2726
(850) 261-5137
Mailing address
75 1ST AVE, NEWNAN, GA 30263-2726
(850) 261-5137

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC009872
GA

Other

Enumeration date
10/30/2017
Last updated
10/30/2017
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