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1538254644
JACQUELYN GANNAWAY SHORT
DUBLIN, GA
NPI
1538254644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW001238)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Ms. JACQUELYN GANNAWAY SHORT msw
1826 VETERANS BLVD.
DUBLIN, GA 31021
Phone number: 478-272-1210
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Mailing Address
Ms. JACQUELYN GANNAWAY SHORT msw
209 EARLWOOD DR.
DUBLIN, GA 31021
Phone number: 478-272-1210
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