Individual
MS. JENNIFER W FAGBEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
1502 RENAISSANCE DR NE APT 2A, CONYERS, GA 30012-8026
(404) 247-5232
(470) 321-5245
Mailing address
1502 RENAISSANCE DR NE APT 2A, CONYERS, GA 30012-8026
(404) 247-5232
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
164478
GA
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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