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Individual

MR. JAMES RONALD CLINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1875 FANT DR, FT OGLETHORPE, GA 30742-3307
(706) 861-3387
(706) 639-2071
Mailing address
PO BOX 1027, LA FAYETTE, GA 30728-1027
(706) 638-5580
(706) 639-2071

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
01103
IA
1041C0700X
Clinical Social Worker
Primary
001199
GA

Other

Enumeration date
08/03/2006
Last updated
07/18/2019
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