Soldier Therapist
NPI #1780348458 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1780348458
- Entity Type
- Organization
- Organization Name
- Soldier Therapist
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 28, 2021
- Last Updated
- Feb 28, 2022
Practice Location
- Address
- 1760 LAKES PKWY UNIT 4416
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30043-6194
- Phone
- (678) 805-7181
Authorized Official
- Name
- RAYMOND EDWIN JEANES, LCSW
- Title
- OWNER
- Phone
- (678) 805-7181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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