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JESSICA AUSTIN LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1508211459

Individual Registrant:
 JESSICA  AUSTIN LCSW
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1763 FERNSIDE DR  TOCCOA, GA 30577-8095 US
Tel: 706-282-4542  Fax: --

Contact information for business:
4331 THURMON TANNER PKWY  FLOWERY BRANCH, GA 30542 US
Tel: 678-512-5700  Fax: --

Registration Information:
NPI: 1508211459
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
GACSW005744

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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