Individual
JASON ALLEN MOOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
1629 CREEKFORD WAY, STONE MOUNTAIN, GA 30088-3511
(678) 325-8198
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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