Individual
DONALD JEROME GARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
528 REMINGTON AVE APT C, THOMASVILLE, GA 31792-5686
(850) 661-7384
Mailing address
528 REMINGTON AVE APT C, THOMASVILLE, GA 31792-5686
(850) 661-7384
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1624P-M
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1624P-M
INTERN
NV
Enumeration date
11/12/2021
Last updated
11/12/2021
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