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Individual

HEATHER A OSBORNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
737 AA DEAKINS RD, JONESBOROUGH, TN 37659-3801
(912) 704-6199
(912) 354-8920
Mailing address
737 AA DEAKINS RD, JONESBOROUGH, TN 37659-3801
(912) 704-6199

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
MSW008293
GA
1041C0700X
Clinical Social Worker
CSW006881
GA
1041C0700X
Clinical Social Worker
Primary
LSW0000007336
TN

Other

Enumeration date
03/28/2018
Last updated
11/20/2020
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