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JESSICA AUSTIN LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1508211459
Individual Registrant: JESSICA AUSTIN LCSW
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1763 FERNSIDE DR TOCCOA, GA 30577-8095 US
Tel: 706-282-4542 Fax: --
Tel: 706-282-4542 Fax: --
Contact information for business:
4331 THURMON TANNER PKWY FLOWERY BRANCH, GA 30542 US
Tel: 678-512-5700 Fax: --
Tel: 678-512-5700 Fax: --
Registration Information:
NPI: 1508211459
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | GA | CSW005744 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
