PHYLLIS J JETER

ROME, GA
NPI1437100484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: GA  CSW002331)
Enumeration Date2006-05-15
Last Update Date2019-10-16
Business Address
PHYLLIS J JETER LCSW
1345 REDMOND CIR NW
ROME, GA 30165-1307
Phone number: 910-742-9243
Mailing Address
PHYLLIS J JETER LCSW
PO BOX 538622
ATLANTA, GA 30353-8622
Phone number: 910-535-1211
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