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General NPI Number Information
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NPI Number | 1801740634
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Entity Type | Individual
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Provider Name | JENNIFER L CONNORS CSW008381
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Gender | Female
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Dates
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Enumeration Date | 02/26/2026
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Last Update Date | 02/26/2026
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Provider Practice Location Address
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Address Line | 2109 CLEVELAND HWY
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City | DALTON
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State | GA
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Zip | 30721-8149
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Country | US
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Telephone | 706-259-4961
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Fax |
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Provider Business Mailing Address
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Address Line | 224 E TENNANT CIR
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City | CHICKAMAUGA
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State | GA
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Zip | 30707-1611
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Country | US
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Telephone | 706-996-0963
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | CSW008381
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW008381
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License Number State | GA
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