Organization
JEAN GOLDTHWAIT LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN MARIE GOLDTHWAIT LCSW (OWNER)
(315) 744-0765
Entity
Organization
Contact information
Practice address
9390 FORD AVE, RICHMOND HILL, GA 31324-6421
(315) 744-0765
(912) 445-4955
Mailing address
755 BELLE ISLAND RD, RICHMOND HILL, GA 31324-6026
(315) 744-0765
(912) 455-4955
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/05/2019
Last updated
02/05/2019
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