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1780959312
JENNIFER LAURIE GLAZE
ACWORTH, GA
NPI
1780959312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: GA CSW004846)
Enumeration Date
2012-03-15
Last Update Date
2020-01-03
Business Address
Mrs. JENNIFER LAURIE GLAZE LCSW
3459 ACWORTH DUE WEST RD NW STE 101
ACWORTH, GA 30101-5820
Phone number: 404-919-2951
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Mailing Address
Mrs. JENNIFER LAURIE GLAZE LCSW
4817 WILKIE WAY NW
ACWORTH, GA 30102-7928
Phone number: 770-584-9446
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