CARLA JACK

DECATUR, GA
NPI1992306989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: GA  CSW006674)
Enumeration Date2020-11-05
Last Update Date2020-11-05
Business Address
CARLA JACK LCSW
4151 MEMORIAL DR STE 209C
DECATUR, GA 30032-1597
Phone number: 404-508-0078
Mailing Address
CARLA JACK LCSW
4151 MEMORIAL DR STE 209C
DECATUR, GA 30032-1597
Phone number: 404-508-0078
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