Individual
JULIUS LASHAME JESSUP PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
209A SWANTON WAY STE 202, DECATUR, GA 30030-3271
(404) 626-2976
Mailing address
209A SWANTON WAY STE 202, DECATUR, GA 30030-3271
(404) 626-2976
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005018
GA
Other
Enumeration date
08/05/2009
Last updated
04/17/2018
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